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Fibromyalgia & Fatigue Centers, Inc. Webinars

Before we take you to the Webinar Archive, please take a moment to tell us a little bit about yourself.

Thank you for your interest in Fibromyalgia & Chronic Fatigue Centers.

TELL US ABOUT YOU
*First Name:
*Last Name:
*Email Address:
*Phone:
*Address:
Address 2:
*City:
*State:
*Postal / Zip Code:
*Country:
* I heard about the Fibromyalgia & Fatigue Centers through:
TELL US WHAT IS IMPORTANT TO YOU
*1.Please select the statement that most accurately describes your status:
I have been diagnosed with Fibromyalgia or CFIDS.
I have symptoms but do not have a medical diagnosis.
I'm here on behalf of a loved one or friend.
Does not apply (e.g., physician or other)
*2.How long have you been experiencing symptoms?
0 to 1 years
2 to 3 years
4 to 5 years
5+ years
Does not apply
*3.Which ONE of the following symptoms is the most important to you to improve as quickly as possible?
Constant Muscle/Joint Pain
Unrelenting Fatigue
Concentration Issues
Sleep Deprivation
Flu-Like Symptoms
*4.On a scale from 1 (least) to 10 (most) please tell us your level of frustration you are experiencing with your health and current treatment processes.
12345678910
LEASTMOST
5.Message:
* Indicates a required field

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