First Name *

Please enter the patient's name if requesting on behalf of someone else:

What would you like to find out more about? *

• Falls & Balance Problems
• Loss of Independence
• Parkinson's Disease
• Stroke Rehab
• Joint & Muscle Aches & Pains
• Not Sure/Other
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• List is empty.

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Source URL

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What does it stop you from doing?

How Long Have Your Suffered Or Worried?

Haven't - this is prevention not cure

1-2 weeks

2-4 weeks

1-3 months

Seems like too long (years)

Where are you located? *

• East Dunbartonshire
• North Lanarkshire
• Glasgow
• Milngavie
• Bearsden
• Kirkintilloch
• Paisley
• Other
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Phone *

Email *

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