Discomfort Pre-Study Survey

Please fill out this survey to the best of your ability so that we can obtain an accurate reading of how you're feeling before the study begins.

How often do you experience discomfort in your body?

How severe is your discomfort when it occurs?

1 2 3 4 5 6 7 8 9 10
Being Low Being High

How long has this been a problem?

How ready are you for this change?