First Name
*
Primary reason for wanting to sample Osteopathy
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I'm new to Osteopathy and not sure what to expect
I was let down by another therapist in the past and would like see how good you are before I commit
I'm NOT sure if Osteopathy can even help me
I'd like to get a feel for what you can do to help me BEFORE I commit to a full appointment
It's just easier for me doing it this way
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Preferred Location?
*
Mount Waverley
Murrumbeena
Either
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Where Does It Hurt?
*
Back
Knee
Shoulder/Neck
Foot/Ankle
Muscle Injury From Sport/Exercise
Pregnancy-related Pain
Post-pregnancy Back Pain
Post-pregnancy pelvic pain
Headaches/Migraines
Hip
Not Sure Where It’s Coming From
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What does it stop you from doing?
*
What concerns you most?
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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
Your pain affecting your pregnancy
Your pain following your pregnancy
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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)
Main goal of using our specialist service
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Ease pain
Ease stiffness
Get active
Stay active
Avoid painkillers
Find out what's wrong
Stay healthy and get sorted before it gets worse
Feel supported during pregnancy whilst keeping fit & healthy and preparing for labour in the BEST way possible
Recover well after giving birth
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Please tell us where to contact you with the outcome of the Free Discovery Visit application:
Phone
*
Email
*