So That We Can Serve Your SPECIFIC Needs, Please Fill Out This Form (it only takes 35 seconds) And Show Us EXACTLY How You Want Us To Help YOU… The more we know about you, the better we can help you.
Primary Reason For Wanting To Talk With A Specialist
I'm in lots of pain and want some tips and advice I can start using straight away
I would love to know what's wrong and how long it will take to ease
I'm not sure if Physical Therapy is right for me and talking to a Physical Therapist first would help me decide
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Where does it hurt?
Mid Back
Low Back
Pelvic Region
Hip
Leg
Knee
Foot/Ankle
Neck/Shoulder
Arm/Wrist/Elbow
Head/Jaw
Headache/Migraine
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What Concerns You The Most That Makes You Want To Consider Physical Therapy?
The pain I'm experiencing.
Worsening pain.
No signs of improvement.
I'm not able to exercise like I want to.
Needing medication all the time.
Potentially needing surgery.
Missing out on travel & time with family & friends.
It's stopping me from reaching my goals for my life or fitness.
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How Long Have You Suffered or Worried?
Haven't - This is for prevention
A Few Days
1-2 Weeks
2-4 Weeks
1-3 Months
Long Enough (4+ Months)
Seems Like Too Long (Years)
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Main Goal Of Using Our Specialist Service
Ease Pain
Ease Stiffness
Get Active
Stay Active
Avoid Painkiller Dependency
Find Out What's Wrong
Stay Healthy & Get Fixed BEFORE Pain Gets Worse
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