Neuropathy Program Questionnaire

Neuropathy questionnaire

I'm going to be creating a online class teaching you how to take natural steps to be free from neuropathy. Please let me know how we can best serve you.

Are you male or female?
- Male
- Female
What is the single biggest concern you have regarding your neuropathy?
I am in the process of creating an online course that teaches natural ways to relieve neuropathy, but I want to make sure that this class is something that would benefit you. What would be the most helpful subject that we could teach?
Do you feel that an online course for healing neuropathy is something that you would be interested in receiving?
- Yes
- No
- maybe
If so, how much do you feel is a fair price to pay for this type of class?
- less than $50
- $50 to $100
- $100 to $200
- $200 to $300
- $300 to $400
- $400 +
Please include your email so we can send you updates when our online program is available?