Be included in the latest Unlearn Your Pain Book by Dr. Howard Schubiner Be Mentioned in new Unlearn Your Pain Book Your Information First Name * Last Name * Name Used for the Unlearn Your Pain Book * Yes, Use my real name. Kindly use a fictional name. Mind body condition experienced * How long have you had this condition? (In Years) * 012345678910111213141516171819202122232425+ Years How long have you had this condition? (In Months) * 0123456789101112 Other Mind body condition experienced How long have you had this condition? (In Years) * 012345678910111213141516171819202122232425+ Years How long have you had this condition? (In Months) * 0123456789101112 Other Mind body condition experienced How long have you had this condition? (In Years) * 012345678910111213141516171819202122232425+ Years How long have you had this condition? (In Months) * 0123456789101112 City * State * Country * Please note: The above information will be published in the new version of Unlearn Your Pain. Publishing Affirmation * I give my permission for Dr. Howard Schubiner to publish this information in Unlearn Your Pain, Random House publisher. Email Email ( Your email will not be published. ) * Captcha Submit If you are human, leave this field blank.
