Enquire About Cost & Availability
Name
*
Which Service Do You Require?
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Physiotherapy
Pilates Classes
Pilates 1-1
Physio led – hip and knee class
Physio led – back class
Free Taster Physio session
Free Taster Pilates session
Pick Your Ideal Day For An Appointment
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Monday
Tuesday
Wednesday
Thursday
Friday
indicate Ideal Time (We're open 7am - 9pm)
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Select
7-8 am
8-9 am
9-10 am
10-11 am
11-12 pm
12-1 pm
1-2 pm
2-3 pm
3-4 pm
4-5 pm
5-6 pm
6-7 pm
7-8 pm
8-9 pm
Where Does It Hurt?
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Select
I am Interested In Pilates
Shoulder and Neck
Back
Hip
Knee
Foot and Ankle
Muscle Injury From Sport
Somewhere Else
What does It STOP you from doing?
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How Long Have You Suffered Or Worried?*
*
No Issues
A Few Days
1-2 Weeks
3-4 Weeks
1-3 Months
Long Enough
Too Long (Years)
Main Goal Of Using Our Specialist Service
*
Select
Ease Pain
Ease Stiffness
Get Active
Stay Active
Avoid Pain Killers Dependency
Find Out What's Wrong
Stay Healthy & Get fixed BEFORE pain gets worse
Your Main Concern?
*
Select
Haven't - This is prevention, not cure
The Pain You Are Experiencing
Worry Over Not Knowing What's Wrong
Concern Over No Signs Of Improvement
Want To Avoid Pain Killers
Fear Of Not Being Able To Keep Active
Future III Health (And You Want To Prevent It)
Phone Number
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Email
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Permissions
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I’m happy for Causeway Physio & Pilates to store my details and contact me with reports, advice and offers.
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