Patient Paperwork Name* First Last Will there be any additional people attending the call with you?YesNoPlease let us know who will be on the call with you.Email* Phone*City & State1 - How did you find us?DrPawluk.comSearch Engine (Google/Bing/etc.)Social Media (Facebook/Twitter/Instagram)Practitioner/ProfessionalPodcast/InterviewOther2 - Are you trying to treat anything specific? Is there any medical information Dr. Pawluk should know beforehand?*3 - Have you looked at the following resources on our website? Please click on each link or copy it into your search/address bar to view the page. New to PEMF? Start here - Link: http://bit.ly/newtoPEMF Intensity matters - Link: http://bit.ly/whyintensitymatters Setting a healing timeline - Link: http://bit.ly/healingtimeline PEMF: How they heal - Link: http://bit.ly/PEMFhowtheyheal Selecting a PEMF system - Link: http://bit.ly/selectPEMF4 - Have you researched any PEMF equipment or devices?*YesNoWhat equipment have you researched?5 - Do you own or have experience with any PEMF system or device?*YesNoWhat system or device have you used/are you using?How frequently are you using the system?Once or more a dayOnce or more a weekOccasionally, when neededI am no longer using the system6 - Is there a specific PEMF system you were interested in learning more about?*7 - What do you hope PEMFs can do for you?8 - Do you have any additional questions for Dr. Pawluk?