Winchester Wellness Quick Questionnaire Question Title * 1. Please let us know your Sex and Age category Female <19 Female 20-29 Female 30-39 Female 40-49 Female 50-59 Female 60-69 Female 70+ Male <19 Male 20-29 Male 30-39 Male 40-49 Male 50-59 Male 60-69 Male 70+ Prefer not to say Other (please specify) Question Title * 2. What is your income bracket? Unemployed £20k – £40K £40K - £60K £60K – £80K £80K-£100K £100K+ Question Title * 3. What do you like to do to stay active? Walking Gardening Running Racquet Sport Cycling Golf Pilates Yoga Other (please specify) Question Title * 4. How many times a year do you suffer with pain or injury and what does this prevent you doing? For example, 1 x per year playing golf, or 3 x per year running around with grandchildren, every week gardening Question Title * 5. What type of healthcare professional did you seek for help? GP Physiotherapist Chiropractor Osteopath Sports massage N/A Other (please specify) Question Title * 6. How long did this take to resolve and allow you to return to what you wanted to do pain free? Up to 2 weeks 2-4 weeks 4-8 weeks 8-12 weeks Up to 6 months More than 6 months Question Title * 7. If you saw a therapist, how much did you spend on resolving the pain or injury in total for all treatments? Up to £50 £51 - £100 £101 - £250 £251 - £500 Over £500 Question Title * 8. How far would you be willing to travel for treatment Less than 5 miles Up to 10 miles Up to 15 miles Question Title * 9. If you could change one thing about the way you accessed care that would make the experience better, what would it be? For example home visits, more regular support and contact outside of one-to-one sessions, better access (free parking), available outside work hours Question Title * 10. In order to arrange your complimentary fifteen minute telephone consultation with one of our experts then please enter your name, email address and phone number below. Thank you!If you would prefer to stay anonymous please leave the below comment box blank Done