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* 1. Please let us know your Sex and Age category

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* 2. What is your income bracket?

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* 3. What do you like to do to stay active?

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* 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

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* 5. What type of healthcare professional did you seek for help?

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* 6. How long did this take to resolve and allow you to return to what you wanted to do pain free?

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* 7. If you saw a therapist, how much did you spend on resolving the pain or injury in total for all treatments?

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* 8. How far would you be willing to travel for treatment

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* 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

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* 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

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