Please tell us...
Please Enter Your First Name
Primary Reason For Wanting To Sample Physical Therapy
I'm new to physical therapy and am not sure what to expect
I was let down by another physical therapist in the past and would like to see how good you are before I choose to work with you- I want to know you are the right fit for my needs
I'm not sure if physical therapy can even help me
I'd like to get a feel for what you can do to help me BEFORE I choose to work with you
It's just easier for me doing it this way
I want to avoid painkillers, procedures or surgery to fix my problem
Where Does It Hurt?
Please select one
Sports or Exercise Injury
Pregnacy/Postnatal Back Pain
Not Sure Where It's Coming From
What is Concerning You Most That Makes You Want To Consider Physical Therapy?
Dependency upon painkillers
Not knowing what's wrong
fear of losing ability to be active, mobile & independent
The risk of needing a dangerous surgery
What Does It STOP You From Doing?
How Long Have You Suffered Or Worried?
A Few Days
Not really a problem- looking mainly for prevention
What Would Be The MAIN Thing You Would Like Us To Achieve For You?
Stay active or involved in sporting activity
Avoid painkiller dependency
Find out what's wrong
Stay healthy and get better before the pain gets worse
If We Could Solve This Problem For You- What Kind of VALUE Would It Bring To Your Life?
Not much- I'm doing fine - just looking for information
Some Value - I'm Not that Bad
Amazing Value- I'm in PAIN & I want this to be solved
Exceptional Value-I'm AVOIDING things I love & it's imapcting my life & joy
Priceless! - If I could solve this probelem after Everything I've tried - it would be AMAZING :)
So we can arrange this Complimentary Diagnostic Discovery Visit for you, please tell us:
Best Phone Number
When Is The Best Time To Reach You?
Morning Before 10am
After 5 pm
Please Tell Us How Did You Find Us?
Friend or Family Member
Recommended by another health provider
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