First Name:
Male or Female?
When were you diagnosed ?
How long did it take to get a diagnosis ?
Your age at the onset of symptoms, apox?
What were your first symptoms?
What are your current symptoms?
Other clinically diagnosed conditions ?
Are you still working?
What line of work?
Are you disabled from Fibromyalgia?
Have you filed for disability?
What results from the filing ?
Any prior injuries or trauma?
Major illnesses ?
Does exercise help? and if so, what kind ?
Have you ever have a long lasting virus?
How has FM affected your life?
What makes symptoms worse?
What makes you feel better?
Been admitted to a hospital for pain?
What remedies or medications have you tried?
What results did the remedies have ?
Comments

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