*This section is required. The form won't be sent without the drawings.
On the body diagrams use the appropriate pencil to mark where you feel the following sensations:
- Aching pain
- Pins and Needles
- Stabbing Pain
- Numbness
1. Click the black square icon and pick a color.
2. To draw: click on a spot, keep the pressure and drag over your pad (or use the mouse to move cursor around).