First Name
*
Primary reason for wanting to sample Physical Therapy
*
What does it stop you from doing?
*
What concerns you most?
What concerns you most?
Not being able to have sex with my partner
Pelvic floor problems affecting my relationship
Having to reply upon painkillers
Not knowing what's wrong
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How Long Have Your Suffered Or Worried?
Haven't - this is prevention not cure
1-2 weeks
2-4 weeks
1-3 months
Long enough
Seems like too long (years)
Please tell us how long you have suffered/ worried*
Main goal of using our specialist service
*
Main goal of using our specialist service
Ease pain
Ease stiffness
Get active
Stay active
Avoid painkillers
Find out what's wrong
Stay healthy and get fixed before it gets worse
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Email
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Phone
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