DetermiNation - Injury Questions for Finish Line Physical Therapy
Name (first & last) *
Your answer
Email Address *
Your answer
City/State *
Your answer
What event are you training for? *
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 share?
Your answer
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