Qi Tech Before Questionnaire
Please complete prior to receiving your Qi Device. This questionnaire is for you to track your personal improvements and is for informational purposes only. 

We are not diagnosing, treating, curing, mitigating, or preventing any type of disease or medical condition. Data analysis may be used in a general collective overview before/after stats. Personal correlation will never be public. 

Before beginning any type of conventional, integrative or natural treatment, it is advisable to seek the advice of a medical healthcare professional.
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