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Virtual consult intake

Pre-Consult Elbow Pain Questionnaire

A few quick questions before your video call so your Elbow Coach knows exactly how to help.

Step 1 of 3 You & your pain
How long have you had elbow pain? *
0 - 30 days

Choose one option.

Where does it hurt? * Tap the sore tendon(s).
Palms-up view of both forearms for choosing elbow pain location

Tap at least one elbow zone.

Rate your worst elbow pain during activity. * 0 = none, 10 = stop what I'm doing.
5

Choose one pain rating.

Who have you consulted with about your tennis / golfer's elbow? * Check all that apply.

Select at least one option.

What activities cause your elbow pain? * Check all that apply.

Select at least one option.

What treatments have you tried? * Check all that apply.

Select at least one option.

How much have you paid to treat / fix your tennis / golfer's elbow? (Add up all doctors visits, physical therapy, treatments, devices, braces, sleeves, pills, ointments... Do not include your time) *

Choose one option.

What is your age? *

Choose one option.

What is your sex? *

Choose one option.

What is your profession? *

Choose one option.

How did you 1st learn about the Fiix Elbow? *

Choose one option.

Please send me helpful emails about treating and preventing elbow pain.
Accept Privacy Policy and Medical Advice Disclaimer *

Please agree to the disclaimer to continue.

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