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Sarah Mayhew
2018-10-17T00:22:39+00:00
1
About You
2
Your Requirements
3
Finish Up!
What Is Your First Name?
*
First
Primary Reason For Wanting to Speak to a Physical Therapist?
*
I'm in lots of pain and want some tips and advice that can help me right away!
I would love to know what's wrong and find out how long to resolve
I'm not sure if this is right for me!
Where Is Your Pain?
*
Lower Back
Knee
Shoulder/Neck
Foot/Ankle
Muscle Injury from Sport/Exercise
Postnatal Back Pain
Not Sure
Several Places
What Does It Stop You From Doing?
*
What Concerns You Most About Your Problem?
*
I'm dependent on painkillers.
I don't know what's wrong
Fear of losing mobility and independence.
The risk of needing invasive surgery
How Long Have You Suffered Or Worried?
*
I haven't - this is prevention
A Few Days
1-2 weeks
2-4 weeks
1-3 months
Long Enough
Too Long (Years)
What Would Be Your Main Goal?
*
Ease Pain
Ease Stiffness
Get Active
Stay Active
Avoid Painkiller Dependency
Find Out What's Wrong
Stay Healthy & Get Fixed Before Pain Gets Worse
Best Time For a Call Back?
*
Through the Day
After 5pm
Anytime
So that we can arrange this Complimentary Telephone Consultation for you, please tell us:
Best Phone
*
*By submitting, you authorize Innovative Therapy Solutions, Inc. to send text messages with offers and other information. Message/data rates apply.
Best Email
*
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