| 1/ Which one of the following practices do you prefer the most to relieve pain? |
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| 2/ Approximately how often do you receive massage or body-therapy? |
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| 3/ Which one of the following makes you decide to have a massage? |
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| 4/ Which type of body-therapy from the following list do you most prefer? |
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| 5/ Does it matter to you that a Massage Therapist is licensed and carries liability insurance? |
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| 6/ When receiving a massage which of the following is your choice? |
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| 7/ What is your gender? |
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| 8/ Which of the following denotes your age group? |
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| 9/ Which of the following best describes your annual income? |
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