Thanks for taking a few minutes to complete this questionnaire. Brighton Bodyworks is offering a FREE 20 minute consultation ahead of any treatment to discuss whether this approach would be suitable for you.
By asking you for this information beforehand, we can further understand your needs ahead of this.
Please note: all personal, medical & injury information is treated as strictly confidential.
What’s your ‘Primary Complaint’? (The most significant ache, pain or niggle that you’d like us to look at)
Any current or previously diagnosed medical conditions? (Especially those treated by a GP or other medical professional)
Any previous dental work, medical investigations, treatments or surgeries? Please include pregnancy and giving birth.
Any physical injuries, traumas or accidents to your UPPER BODY? (This includes your HEAD, e.g. concussions or bangs to the head, NECK e.g. whiplash injuries, SHOULDERS, ELBOWS, WRISTS & FINGERS, e.g. broken bones, strained muscles etc)
Any physical injuries, accidents or trauma to your LOWER BODY? (These include broken bones, twisted ankles, strained muscles etc to your: HIPS, KNEES, ANKLES, FEET and TOES)
Any physical injuries, accidents or traumas to your CENTRAL SPINE? (These can include broken bones, strained muscles etc to your: NECK, UPPER/MIDDLE/LOWER SPINE, PELVIS & TAILBONE)
Imagine you had a bucket in to which you could place all your daily 'stressors': work, family, finances, schedule etc. On a scale of 1-10 how full would your bucket be (10 being completely full)?
Finally, is there anything else you'd like to mention which hasn't been covered in any of the above?
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