How long have you had this pain?
< 6 Months
6 Months - 2 Years
2 Years
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No# of Health care providers seen?
0
1-2
3+
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Have you had imaging (MRI/ Xray) on this condition??
Yes
No
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Best Day To Call
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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Best Time To Call
Morning
Afternoon
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