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Fibromyalgia Survey: Patient Relaxation LLC
Help the massage therapists at Patient Relaxation create the most effective and comfortable protocols to help folks with Fibromyalgia.
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What's your gender?
*
Your answer
How old are you?
*
18-29
30-39
40-55
56-70
71 or up
Other:
How long have you been having symptoms of Fibro?
*
Less than a year
1-3 years
4-10 years
More than 10 years
What symptoms have you experienced?
Fatigue
Sleep issues
Memory issues
Mood problems
Painful/tender spots
Headaches (tension or migraine)
TMJ (jaw) problems
Bowel/digestive/urinary problems
Anxiety
Depression
Widespread pain
How often do you experience flares? (Flares being defined as a noticeable increase in symptoms)
*
Once or more a week
1-3x a Month
Every 2-4 months
Every 5-8 months
Very infrequently
Other:
Tell us about any other symptoms not mentioned here.
Your answer
What kinds of things trigger flares?
Temperature changes
Sleep changes
Barometric/weather changes
Stress
Discussing symptoms or triggers
Poor food/drink choices
Other illness
Tell us about other triggers
Your answer
Treatments that have helped
Painkillers
Antidepressants
Anti-seizure drugs (Lyrica, gabapentin, etc)
Physical therapy
Counseling
Getting better sleep
Exercise
Reducing stress
Healthy eating/drinking
Limiting caffeine
Massage therapy
Acupuncture
Yoga/tai chi
Tell us about other things that have helped
Your answer
Tell us about treatments that have made it WORSE
Your answer
Describe how it feels to tell a healthcare professional that you have Fibro. Do they believe you? What do they usually suggest?
Your answer
Have you ever withheld the fact that you have Fibro from any treatment provider (massage therapist, etc.)? If so, why?
Your answer
If you've ever gotten massage therapy or any other hands-on therapies, describe if it went from pleasant to painful. How long did it take? Did you mention it? What did it feel like?
Your answer
Describe what kind of massage therapy would be ideal for you. Talk about pressure, temperature, music, aromas, etc. Should we focus on or avoid tender spots?
Your answer
Who have you worked with who has helped (doctor, nurses, physical therapists, personal trainers)? We'd love to interview them!
Your answer
If you have any further comments or suggestions, please include them below.
Your answer
If you would allow us to mention you in the credits, please give your FIRST NAME, LAST INITIAL here.
Your answer
If you'd like to be added to our mailing list, leave your email address here.
Your answer
Thank you so much!
We are working to develop guidelines to get people with Fibro the best possible care, not just here at Patient Relaxation, but throughout the country. Your input will be used to develop protocols and treatment plans that will become classes and seminars all over the nation.
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