Please tell us...
Your name
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What are your primary reasons for wanting to speak to a specialist?
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I'm in lots of pain and want some tips and advice I can start using right away
I would love to know what's wrong and how long it will take to ease
I'm not sure if Physical Therapy is right for me and talking to a Physical Therapist first would help me decide
I'd like to get a feel for what you can do to help me BEFORE I commit to a full appointment
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Where does it hurt?
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Please select one
Back
Knee
Shoulder/Neck
Sports or Exercise Injury
Foot/Ankle
Wrist/Hand
Elbow
Not Sure Where It's Coming From
How long have you suffered or worried?
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A Few Days
1-4 Weeks
2-6 Months
Too Long (Years)
What does it STOP you from doing?
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On a scale of 1-5, how important is it for you to solve this problem?
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Please select one
1 - NOT that important
2
3
4
5 - VERY important
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Your best phone number
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Area Code
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Your best e-mail
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