Name

Ideal Times Ideal Times9-11am11-1pm1-3pm3-6pm6-8pm

Which Service Availability Are You Intrested In? Which Service Availability Are You Intrested In? Physiotherapy/ Rehab Massage Acupuncture Private Pilates Performance Assessment (prevent and progress)

Which Days Suit You Best? Which Days Suit You Best? Monday Tuesday Wednesday Thursday Friday Saturday

What concerns you the most? What concerns you the most?The pain you are experiencingNot knowing what is wrongYou want to avoid painkillers or risky surgeryFear of not being able to stay active/exerciseConcern at no signs of improvement

What Is The Number One Thing You Would Like To Achieve From Treatment?

Best time for a call back? Best time for a call back? Before 5pm After 5pm Anytime

What Treatments Do You Value The Most As Part Of Your Recovery? What Treatments Do You Value The Most As Part Of Your Recovery? Natural Treatments (Don't want meds or pain killers) Hands On Care (manual therapy, massage, myofascial release) One To One Care Home exercises and self-treatment to speed up your recovery

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