Pain Therapy – All Gold Group Demos

Your Name*

First Last

Mobile Number*

How often do you have mood swings?*

How often have you felt a need for higher doses of medication to treat your pain?*

How often have you felt impatient with your doctors?*

How often have you felt that things are just too overwhelming that you can't handle them?*

How often is there tension in the home?*

How often have you counted pain pills to see how many are remaining?*

How often have you been concerned that people will judge you for taking pain medication?*

How often do you feel bored?*

How often have you taken more pain medication than you were supposed to?*

How often have you worried about being left alone?*

How often have you felt a craving for medication?*

How often have others expressed concern over your use of medication?*

How often have any of your close friends had a problem with alcohol or drugs?*

How often have others told you that you had a bad temper?*

How often have you felt consumed by the need to get pain medication?*

How often have you run out of pain medication early?*

How often have others kept you from getting what you deserve?*

How often, in your lifetime, have you had legal problems or been arrested?*

How often have you attended an AA or NA meeting?*

How often have you been in an argument that was so out of control that someone got hurt?*

How often have you been sexually abused?*

How often have others suggested that you have a drug or alcohol problem?*

How often have you had to borrow pain medications from your family or friends?*

How often have you been treated for an alcohol or drug problem?*

Consent to receive messages*

Please send me care messages via text to help me manage my chronic pain. I understand that I will receive up to 3 care messages/week via text. Message and data rates may apply according to my carrier text and data plan. I can text HELP for questions. I can text STOP to unsubscribe at any time.

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Score

Pain Therapy Demo