Patient Self-Screening Questionnaires
Patient Questionnaire
Six quick checklists to help you understand whether team rehab could help you
Below are six short checklists covering common conditions we treat. Find the one (or ones) that match what you're experiencing, answer each question with a simple YES or NO, and read the result at the end.
This is not a diagnosis. It is a quick way to see whether your symptoms are the kind that team rehab commonly helps with. If several of these apply to you, it may be worth scheduling an evaluation.
- 1Balance & Fall Risk
- 2Low Back Pain
- 3Neck & Shoulder Pain
- 4Knee & Hip Pain
- 5Post-Surgical Recovery
- 6Sports & Activity-Related Injury
Six short checklists
Pick the ones that match what you're experiencing, then answer each question with a simple YES or NO.
No account, no obligation
Your answers stay in your browser. Nothing is submitted until you decide to request an appointment.
A clear result either way
You'll see your YES count for each checklist, and whether 4 or more of them point to symptoms physical therapy can help with.
Prefer to talk it through? Call us at (209) 238-2579 — Monday through Friday, 9:00 AM to 5:00 PM.
Take the First Step Toward Recovery
Whether you're recovering from an injury, managing chronic pain, or aiming to enhance your physical performance, our licensed physical therapists are here to guide you with expertise, compassion, and a plan built around your goals.