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Physio / injury rehab Health Questionnaire
Where have you had PREVIOUS injuries?
How would you describe your current stress levels?
Are you currently pregnant?
Do you suffer from any of the following:
Where have you had PREVIOUS injuries?
How well do you sleep?
Have you been pregnant in the last 5 years?
Do you suffer from any of the following:
How did you hear about us?

Consent: 

You consent to participate in a Physio / Injury Rehab Assessment. 

During your assessment, your therapist may ask you to remove some items of your clothing. This will be fully explained to you during the assessment, and you have the right to refuse if you feel uncomfortable. 

 

You have the right to pause or stop the assessment at any time. 

 

Any treatment provided will be explained before your therapist carries out any hands-on therapy. 

Terms of Use: 

We operate a 24 hours cancellation policy. Any class cancelled with less than 24 hours' notice will be charged in full.  

 

The information you have entered above will be stored in line with GDPR and data protection laws. Details of how we store & use your information can be found in our Privacy Policy.  

Thanks for submitting your Injury Rehab Health Questionnaire!

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