First Name
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Last Name
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Primary reason for wanting to speak with a specialist
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I'm in a lot of pain and want some tips and advice that I can start using right away
I would love to know what's wrong and how long it will take to get rid of my pain
I'm not sure if Physical Therapy is right for me and talking to a physical therapy first would help me decide
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Where does it hurt?
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What does it stop you from doing?
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What Concerns You the Most?
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Not knowing what's actually wrong
Depending on medications or pain killers
Losing some mobility or independence
the risk of facing long term injury or dangerous surgery
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How Long Have You Suffered?
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Haven't - this is prevention not cure
A few days
1-2 weeks
2-4 weeks
1-3 months
Long enough
Seems like too long (years)
Main goal of using our specialist service
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Ease Pain
Ease Stiffness
Get Active
Stay Active
Avoid Painkillers
Find out what's wrong
Stay Healthy and get fixed BEFORE gets worse
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Best time for a call back?
Through the day
After 5 pm
Anytime
Email
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Phone
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