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Virtual consult intake

Pre-Consult Elbow Pain Questionnaire

Answer a few focused questions before your video call so the Fiix team can understand your elbow pain, what you’ve tried, and what needs to happen next.

Step 1 of 6 Contact details
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Contact details

We’ll use this to match your answers with the consult request.

Pain profile

Tell us what hurts

How long have you had elbow pain? *

Drag the timeline to the closest answer.

0 - 30 days

Choose one option.

Tap the sore tendon zone. Outside = tennis elbow. Inside = golfer's elbow. Pick right, left, or both. *
Your left arm Your right arm Palms-up view of both forearms for choosing elbow pain location

Tap at least one elbow zone.

Slide to your worst activity pain. Use the most painful tendon if more than one is sore. *

0 is no pain. 10 is “stop what I’m doing.”

5

Choose one pain rating.

History + triggers

What have you learned so far?

Who have you consulted with in the past to learn you had 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.

Treatments tried

What have you already done?

What treatments have you tried for your elbow pain? (check all that apply) *

Select at least one option.

Drag the spend meter. Rough estimate is fine. *

This helps the consult team understand how much time and money this has already burned.

$0

Choose one option.

About you

A little context helps

Age *

Choose one option.

Sex *

Choose one option.

Enter your profession.

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

Choose one option.

Final notes

Anything else we should know?

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

Sorry you haven't agreed to the disclaimer, please agree to the disclaimer to continue.

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