So That I Can Serve Your SPECIFIC Needs, Please Fill Out This Form (it only takes 30 Seconds) And Tell Me EXACTLY How You Want Me To Help YOU… The more I know about you, the better I can help you.
Where does it hurt?
Back
Low Back
Knee
Leg
Neck/Shoulder
Foot/Ankle
Hip
Pelvic Region
Arm/Wrist/Elbow
Head/Jaw
Headache/Migraine
Muscle Injury From Sports/Exercise
Not Sure Where It's Coming From
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What Concerns You The Most That Makes You Want To Consider Physical Therapy?
The Pain You Are Experiencing
Not Knowing What's Wrong
Want to Avoid Pain Killers & Medications
Fear of Not Being Able to Stay Active
The Risk of Needing Dangerous Surgery
Concerns at No Sign of Improvement
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How Long Have You Suffered or Worried?
Haven't - This is Prevention (Not Cure)
A Few Days
1-2 Weeks
2-4 Weeks
1-3 Months
Long Enough (4+ Months)
Seems Like Too Long (Years)
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Main Goal Of Using Our Specialist Service
Ease Pain
Ease Stiffness
Get Active
Stay Active
Avoid Painkiller Dependency
Find Out What's Wrong
Stay Healthy & Get Fixed BEFORE Pain Gets Worse
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