Full Name
*
Primary reason for wanting to sample Physical Therapy
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What does it stop you from doing?
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What concerns you most that makes you want to sample physical therapy?
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The pain
Fear of not being able to keep active
Not knowing whats wrong
Avoiding painkillers
No sign of improvement
Future ill health
Difficulty with intimacy/conception
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How Long Have Your Suffered Or Worried?
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A few days
1-2 weeks
2-4 weeks
1-3 months
Seems like too long (years)
What would be the one thing you would like us to achieve for you?
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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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Phone
*
Email
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