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Section - Pain Symptoms

Using the Body Image as a reference, Please indicate where your pain and/or numbness is

Right Front shoulder Left Front shoulder Front Neck Left Upperarm Left Elbow Left Forearm Left Wrist Left Hand Right Upperarm Right Elbow Right Forearm Right Wrist Right Hand Abdomen Right Chest Left Chest Stomach Region Head-Forehead Right Thigh Right Knee Right Shin Right Ankle Right Foot Left Thigh Left Knee Left Shin Left Ankle Left Foot Back of Head Back of Neck Left Shoulder Right Shoulder Upper Back Middle Back Lower Back Buttocks Left Rear Leg Right Rear Leg Left Rear Upper Arm Right Rear Upper Arm Left Rear Lower Arm Right Rear Lower Arm





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