NBR - Injury Report & Questions for the PT
Name (first & last) *
Your answer
Email address *
Your answer
What event are you training for next? *
Where are you experiencing pain/discomfort? *
Please tell us about your concern.
Your answer
When did you starting experiencing pain/discomfort? *
Your answer
Rate your pain/discomfort on a scale from 1 to 10 *
1=none; 10=extreme
Does your pain/discomfort increase with exercise (run, walk, bike, etc.)? *
Have you sought advice from anyone about your pain/discomfort? *
If you answered yes above, with whom did you speak with?
Your answer
Is there any additional information you'd like to tell us?
Your answer
If you would like us to share our response to your inquiry with your coach, please enter their email below:
Your answer
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