Followup Survey

What were your main reasons for seeking Acupuncture and Chinese Herbal Medicine?

What have you learned about your health and symptoms during treatment?

How has Acupuncture and Chinese Herbal Medicine supported you? What would you like to see moving forward?

What else would you like to say about your experience with Jennum O'Hara Acupuncture?

Jennum O'Hara can use my responses from this form on her website, social media, and other promotional materials.

I wish to remain anonymous

I am comfortable being identified using my initials

I would prefer that none of the information provided on this form is shared

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