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Personal Hydrotherapy Programs
Please fill out this short questions and a staff member will contact you to talk about how a personal hydrotherapy program can help and support you.
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1
Which best describes what you are looking at achiving with hydrotherapy?
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Select as many as you feel are relevent to you
Manage Pain Relief
Rehabilitate from surgeries
Rehabilitate from an injury
Increase the range of movement of your Joints
Weight Loss
Gain Muscular Strength
Improve your Fitness Levels
Improve Mental Health
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2
Location of surgery or Injury
Head/Neck
Back/Spine
Shoulder
Arms
Hands
Hips
Knee
Ankle
Feet
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3
How old are you?
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0 - 17
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 - 74
74 or more
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4
Your Name
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First Name
Last Name
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5
Your Email
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example@example.com
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6
Your Phone Number
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