BioCentric Seminars: Hands-on
Hands-On session: Place ______________________________________Date
IF THE COURSE WAS HELPFUL FOR YOU THIS IS YOUR OPPORTUNITY TO HELP
FUTURE PARTICIPANTS by completing this short questionnaire.
Were you helped by the presentation and hands-on session? Yes or
No (circle one)
Explain how (if Yes) or why (if No)_________________________________________________
Please circle the symptoms for which you have experienced improvement:
numbness, swelling, loss of strength, work pain, night pain, Carpal
Please circle the sites involved: back, neck, shoulder, arm, wrist,
hand, thumb, fingers.
How soon after the course did you see improvement in symptoms?________________________
Do you have a better attitude toward work now? Yes or No
Please list leisure activities that you could not enjoy before
the course, but you can enjoy now:
Is there anything else you would like to tell us about your experience
with the BioCentric Technique?