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HIRE STAK TOOL
HOSPITALS
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SUBMIT DATA
ABOUT STAK
OUR STORY
STAK EXPLAINED
RESEARCH EVIDENCE
TESTIMONIAL
CONTACT
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Tell Us More About Your Knee
STAK Enquiry
Getting you back to life’s precious moments.
Full Name
Date of Birth
Gender
—Please choose an option—
MALE
FEMALE
Full Address
Post code
Email
Phone
Weight
Height
Knee surgery procedure
Date Of Surgery
Any details you’d like to share following your surgery?
Which Knee?
Left
Right
Manipulation under anaesthetic?
Yes
No
Currently under physiotherapy?
Yes
No
Please detail any other treatments?
Medical history
List medications that you take
How did you pay for your surgery?
Private
NHS
Insurance
Details please
Lifestyle eg working? retired, daily activities
How did you hear about us?
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Search Engine
Google advert
YouTube advert
FB advert
LinkedIn
Instagram
Twitter
A post from a friend on social media
Your surgeon
Your physiotherapist
Print
Word of mouth
Others
Goals eg in/out car, stairs, riding bike etc
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