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Plantar Fasciitis Pre-Screen
Please fill out the pre-screen questionnaire and choose your time slot
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Email
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Your email
First name
*
Your answer
Last name
*
Your answer
Phone number
*
Your answer
Have you been told you have, or do you believe you have plantar fasciitis?
Yes
No
Clear selection
Do you have difficulty squatting down to pick things up or during weightlifting activities?
Yes
No
Clear selection
Do you find it difficult to climb stairs or go on hikes with lots of elevation changes?
Yes
No
Clear selection
Do you experience pain in your heel that can radiate into the bottom of your foot?
Yes
No
Clear selection
Do you have pain associated with your first steps in the morning but then it gets better as the day goes on? - Do you then experience pain again later in the day?
Yes; Yes
Yes; No
No; No
Clear selection
The Plantar Fasciitis screening will be Wednesday, March 24 and appointments will be available from 3pm-6pm. Please click the link below to reserve your spot BEFORE SUBMITTING, or you will lose the link below:
https://calendar.google.com/event?action=TEMPLATE&tmeid=M2pnZGswOTRucjl1OGc0YTJvZXBjdG9jdDQgY19rZGthOXU0ZWd1bGw3ampnYzVvNnRlZmQ1OEBn&tmsrc=c_kdka9u4egull7jjgc5o6tefd58%40group.calendar.google.com
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