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Curious if you (or a loved one) could benefit from SpiderCage Intensives?
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1
Patient Name
First Name
Last Name
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2
Email
example@example.com
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3
Do you have difficulty holding upright positions like standing or sitting without additional support?
YES
NO
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4
Do you have increased muscle tone or decreased muscle tone (overall weakness)?
YES
NO
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5
Do you have impaired balance or impaired spatial awareness?
YES
NO
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6
Have you completed an intensive therapy program before?
YES
NO
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7
Are you interested in an upcoming intensive?
Summer
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Spring
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