First Name
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Last Name
Email
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Phone
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What would be the one thing you would like us to achieve for you?
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What would be the one thing you would like us to achieve for you?
Ease pain
Ease stiffness
Get active
Stay active
Avoid painkillers
Find out what's wrong
Stay healthy and get fixed before it gets worse
Return to sport
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What concerns you most?
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What concerns you most?
Not knowing what's wrong
You want to avoid depending upon painkillers to ease pain
Losing mobility or independence due to chronic pain
The risk of facing dangerous surgery due to chronic pain
Not being able to play sport
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What does it stop you from doing?
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How long have you suffered or worried?
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I haven't - this is prevention not a cure
1-2 weeks
2-4 weeks
1-3 months
Long enough
Seems like too long (years)
Best time for a call back?
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Through the day
After 5pm
Anytime
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