HOME
HIRE STAK TOOL
HOSPITALS
WORKING WITH HOSPITALS
SUBMIT DATA
ABOUT STAK
OUR STORY
STAK EXPLAINED
RESEARCH EVIDENCE
TESTIMONIAL
CONTACT
BLOG
HOME
HIRE STAK TOOL
HOSPITALS
WORKING WITH HOSPITALS
SUBMIT DATA
ABOUT STAK
OUR STORY
STAK EXPLAINED
RESEARCH EVIDENCE
TESTIMONIAL
CONTACT
BLOG
FREE CONSULTATION
Hi there! I believe we haven't met. What's your name?
Great! What's the best email to send your results to?
How old are you?
What is your gender?
Male
Female
Other
What are your goals?
Are you currently having physio? if yes is it NHS, Private Hospital or Private practice
Have you had surgery?
Yes
No
Date of surgery?
Have you had an manipulation under anaesthetic?
Yes
No
How swollen is your knee?
Mild
Moderate
Severe
How painful is your knee?
How often does the knee swell
All the time
daily
several times a week
rarely
how would you describe the pain in your knee?
Mild
Moderate
Severe
Disturbed sleep?
Have you taken painkillers or anti-inflammatories in the past?
do you get pain at night which keeps you awake?
every night
occasionally
never
which anti inflammatories or pain killers have you taken in the past?
How motivated are you?
How confident are you in completing programme/physio alone?
Do you enjoy group exercise?
Yes
No
How motivated are you feeling to complete exercises at the moment?
very
alittle
not at all
Send
