Functional Assessment Form

A Functional Assessment is a way for you to speak your mind about any and all of your concerns. You may ask any questions you have about your troubles/pain or exercise movements. This is a non-obligation appointment that will give you all of the information you need to make the BEST decision about YOUR health!

What kind of service are you looking for?
What is the MAIN reason you are interested in a Functional Assessment?
How long has this been going on for?
How is this problem impacting your life?
What value would Powerful PT bring to your life by helping you?
How did you hear about Powerful Physical Therapy?
Besides taking care of your issue, what other services would you be interested in learning about?