Name *

What concerns you most that makes you want to sample physical therapy? *

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
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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*

Phone *

Email *

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