1. How long have you been using HealthLight therapy consistently?
First week
Second week
Third week
1 month
1-2 months
1-3 months
4 or more months
Other:
2. How often do you typically use HealthLight therapy?
Daily
Once weekly
Several times per week
Occasionally
Other:
3. Since using HealthLight therapy have you noticed any changes in the following areas:
Select the option that best describes how you feel:
Pain
More
Less
None
Tingling
More
Less
None
Numbness
More
Less
None
Sharpness
More
Less
None
Dullness
More
Less
None
Burning sensations
More
Less
None
Cold feet
More
Less
None
Nerve pain
More
Less
None
Balance/stability
More
Less
None
Fear of falling
More
Less
None
N/A
Walking confidence
More
Less
None
N/A
Strength
More
Less
None
Other:
More
Less
None
N/A
Any additional comments:
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