Free Discovery Session Step 1 of 3 33% Name* First Last Primary Reason For Wanting To Try Physical Therapy*I'm new to Physical Therapy and not sure what to expectI was let down by another PT in the past and would like to see how good you are before I commitI'm NOT sure if Physical Therapy can help meI'd like to get a feel for what you can do to help me BEFORE I commit to a full appointmentIt's Just easier for me doing it this wayWhere Does It Hurt?*Lower BackKneeShoulder / NeckFoot / AnkleMuscle Injury from Sport / ExercisePostnatal Back PainNot SureWhat does it STOP you from doing?* What Is Concerning You Most That Makes You Want To Consider Physio?*Dependency upon painkillersNot knowing what's wrongFear of losing mobility or independenceThe risk of needing dangerous surgeryHow Long Have You Suffered or Worried?*Haven't - This is prevention (not cure)A Few Days1-2 Weeks2-4 Weeks1-3 MonthsLong EnoughToo Long (Years)What Would Be The One Thing You Would Like Us To Achieve For You?*Ease PainEase StiffnessGet ActiveStay ActiveAvoid Painkillers DependencyFind Out What's WrongStay Healthy and get fixed BEFORE pain gets worse Phone Number*Best Email*
