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Kriz Telehealth Quiz
Find out if Virtual Visits are a good fit for your needs
10
Questions
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1
Please enter the information below to get started
*
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First Name
Last Name
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2
Where does it hurt?
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Shoulder/Elbow
Hip
Back
Knee
Ankle/Foot
Neck
Balance/General Mobility
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3
How long have you been in pain?
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Days
Weeks
Months
Years
Not Sure
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4
What is the pain or problem keeping you from doing?
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Exercising
Sleeping
Playing with your children/grandchildren
Playing golf, tennis, or pickleball
Walking for leisure or exercise
Working or volunteering
Gardening or other hobies
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5
Do you access to a computer or mobile device with video?
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Yes
No
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6
Are you stuck at home or have limited ability to travel?
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Yes
No
Sometimes
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7
How important is it to solve this issue
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Very Important
Important
Not Really Important
Unsure
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8
Enter your Info to get your instant results
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example@example.com
Confirm Email
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9
Calculation
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10
CONGRATULATIONS! TELEHEALTH SEEMS LIKE A GREAT FIT
We are here to assist your needs from wherever you are through a virtual visit.
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11
Telehealth May Work For You
We recommend reaching out to see if We would be a good fit to assist through your issues with a virtual visit.
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