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standard-title Bennett – Injection review Questionnaire

Bennett – Injection review Questionnaire

You are here: Home \ Bennett – Injection review Questionnaire
Name(Required)
DD slash MM slash YYYY
WHICH JOINT ARE YOU REVIEWING:(Required)
WHICH TYPE OF INJECTION DID YOU HAVE :(Required)
Does the pain disturb your sleep:
How far can you walk comfortably without pain:(Required)
How many pain killers do you take every day:(Required)
How effective are your pain killers:(Required)
Do you require another appointment with Mr. Bennett?(Required)
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