Name
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Email
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Street Address
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Have you had any body pain lasting 12 months or longer?
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How long have you had pain?
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What body part do you have pain?
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Please rate the pain from 1 to 10.
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Marijuana Certification
$
115.00
Quantity
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2
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Credit Card
1 to 5, how glad are you that you didn't go sit in a doctor's office instead?
1
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5
(No pressure but personally, we're giving it 5.)
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