SKELETHEA™ Guided Spinal Movement Awareness Study

Parent's Full Name

Parent's Email Address

Parent's Phone Number (10-digit US)

Teen's Full Name

Teen's Date of Birth

Format: Month/Day/Year (e.g., 01/15/1990)

Teen's Age (12-14)?

City and State

Has your teen been diagnosed with adolescent idiopathic scoliosis (Cobb angle under 30°)?

Yes No

Is your teen medically stable?

Yes No

Is your teen able to lie supine and follow instructions?

Yes No

Has your teen had prior spinal surgery?

Yes No

Are you willing/able to attend on-site 3–4x/week, 2hrs/sessions for 6 months?

Yes No

Do you as a Parent/guardian give consent as well as your teen agree to take part?

Yes No

Contact for future studies?

Yes No

What types of studies would you be interested in?

List comma separated keywords

Submit Qualification