Wellness Recommendation Form | Laura Franklin Rehab

Wellness Recommendation Enquiry Form
Not sure where to start?
Complete the form below, and we will get back to you with some personalised recommendations.

First name

Last name

Phone

Yes, subscribe me to your newsletter.

What Is Your Preferred method Of Contact?

Are you interested in a particular area of our products?

Unwind

Restore

Energise

What are your health and wellness goals? (e.g., improve sleep, stress management, reduce fatigue / increase energy, reduce pain, improved movement)

Are there specific concerns you want to address? (e.g., back pain, anxiety, post-surgery recovery)

Do you have any conditions we should be aware of that could affect product use?

Are you looking for a specific product? (e.g., supplements, therapy tools, physio or rehab services)

How often do you plan to use the product? (daily, weekly, as needed)

What’s your current wellness routine? (e.g., exercise, therapy, nutrition habits)

Are you currently being treated for/under medical observation for any conditions?

Do you have allergies or sensitivities?

Have you consulted with a healthcare provider about using wellness products? Have you been given any specific advice?

What results are you hoping to achieve?