First Name
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Last Name
*
Phone
*
Email
*
Where Does it Hurt?
*
Where Does it Hurt?
Back Pain
Knee Pain
Neck & Shoulder Pain
Sports Injury
Heel Pain
Orthotics
Osteoarthritis
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What does it stop you from doing?
*
Pick your ideal day for an appointment
*
Pick your ideal day for an appointment
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
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How Long Have Your Suffered Or Worried?
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Haven't - this is prevention not cure
1-2 weeks
2-4 weeks
1-3 months
Long enough
Seems like too long (years)
Main goal of using our specialist service
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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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Tell us the best time
*
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
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Enquire About Cost & Availability