Name Email Address Tel/ Mobil Pain Duration < 3 Months > 6 Months Pain type feels like: Muscular (tissue) / Muskulär (Gewebe) Skin, Muscles, Bone, Joints (somatic) / Haut, Muskeln, Knochen, Gelenke (somatisch) Nerve (neuropathic) / Nerven (neropathisch) Organs/ Abdomen (visceral) / Organe/Unterleib (viszeral) When is the worst pain? Morning Afternoon Night Pain experience description Preffered appointment date 2nd Preffered appointment date Preffered appointment time Mornings / Morgens Afteroons / Nachmittags Location Mobile Appointment/ Hausbesuche Praxis Anjali Radiology, diagnostic images, medical reports, vouchers Send Thank you for filling out a little more detail to help discover a quicker way for you to recover. Vielen Dank, dass Sie mehr Angaben gemacht haben, um einen schnelleren Weg zur Linderung der Schmerzen zu finden. Praxis Anjali