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Pain & Sleep Therapy Center
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Dr. Green
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Contact
Careers
Meet Us
Dr. Robinson
Dr. Green
Meet the Team
Technology
Testimonials
Workshops
Careers
TMD/Head & Facial Pain
Symptoms
Diagnosis
Treatment
Pain Survey
Sleep Disorders
Symptoms
Diagnosis
Treatment
Sleep Survey
Pediatrics
Airway/Facial Development
Sleep Disorders
Symptoms
Diagnosis
Treatment
TMD/Head & Facial Pain
Symptoms
Diagnosis
Treatment
Frenectomy
Infant Frenectomy
Child/Adult Functional Frenuloplasty
Myofunctional Therapy
Healthy Living
Clean Eating
Breakfast
Dessert
Dinner
Lunch
Sides
Snacks
Meal Planning Tools
Get Moving
Wellness Workshops
Wellness Workshop Survey
Blog
Sleep Hygiene
Contact
Contact
Careers
Wellness Workshop Survey
WELLNESS WORKSHOP SURVEY
I am most interested in my:
*
Structural / Physical Health
Emotional / Spiritual Health
Chemical / Nutritional Health
I spend _____ a week taking care of my Structural / Physical Health.
*
1-3 Hours
3-6 Hours
6 + Hours
This includes but not limited to cardiovascular exercise (walking/jogging/running), yoga, weight lifting, recreational sports (basketball, soccer) and physical therapy.
I am:
*
Happy with the amount of time I dedicate to my Structural / Physical Health.
Would like to increase my time to my Structural / Physical Health.
I spend _____ a week taking care of my Emotional / Spiritual Health.
*
1-3 Hours
3-6 Hours
6 + Hours
This includes but not limited to worship, meditation, recreational reading, counseling and volunteering.
I am:
*
Happy with the amount of time I dedicate to my Emotional/Spiritual Health.
Would like to increase my time to my Emotional/Spiritual Health.
I spend _____ a week taking care of my Chemical / Nutritional Health.
*
1-3 Hours
3-6 Hours
6 + Hours
This includes but not limited to meal planning and prepping (healthy foods of course), nutritional research/counseling and related events.
I am:
*
Happy with the amount of time I dedicate to my Chemical / Nutritional Health.
Would like to increase my time to my Chemical / Nutritional Health.
PLEASE FILL OUT THE SHORT FORM BELOW AND WE WILL BE IN TOUCH.
I would most likely attend an event on the following topic:
*
Structural / Physical Health
Emotional / Spiritual Health
Chemical / Nutritional Health
I am also interested in learning more about Pediatric Sleep Disordered Breathing*
*
Yes
No
Name
First
Last
Email
Phone
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