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I am curious about becoming a future patient
I have a general question
I have a question about my pain
I have a question about my function
I have a question about my diagnosis
I have a question about if your services are right for me
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Where Does It Hurt?
How Long Have You Been Hurting?
A Few Days
What Is Your Biggest Concern?
Wanting to prevent an injury
The pain you are experience
Worry about not knowing what is wrong
Concern at no signs of improvement
Fear of not being able to keep active/involved in sport
Wanting to avoid painkillers
Wanting to avoid surgery
What Is Your Pain Stop You From Doing?
Example: Going to the gym, walking the dog, recreational activities, sports, sleeping, etc. or n/a if your question is unrelated to a condition.