Thank you for participating in our 2 part (20 question) survey which should take you 10 minutes.

We know as we get older we generally get stiffer, less mobile and less stable. In fact, for most of us this process starts around 55 years old. However, many of these problems are actually preventable if detected early enough and treated appropriately. 

At Beaches Osteopathic Centre we have specific expertise in balance and postural restoration, movement re-education and falls prevention.  We have specialised technical knowledge and experience in measuring balance, and screening for future mobility problems.

The purpose of this survey is to find out if you have any concerns about your mobility, if you are aware of the importance of balance screening, aware of what can be done to improve your mobility, and to get an overall picture of your lifestyle and aspirations. Obtaining these insights will assist us in creating an educational process specifically catered to those who experience mobility and stability issues, and also develop rehabilitation programs that best meet their needs.

As a thank you for taking the time to complete this important survey, we are offering you a FREE copy of our ebook, FIVE STEPS TO BETTER BALANCE which can be downloaded at the beginning of Part 2.

Kind regards,

Dr Tony Tranfield
Osteopathic Neuro-rehabilitation
Beaches Osteopathic Centre
21/20 Wellington Street
NARRABEEN NSW 2101
Ph:   02 9913 7900
Fax: 02 9913 7886
www.osteopathiccentre.com.au

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* 1. How old are you?

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* 2. Are you male or female?

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* 3. What is your postcode?

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* 4. Do you live in

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* 5. Do you currently have any ongoing pain or stiffness in your: (please tick as appropriate)

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* 6. Is this affecting your quality of life at all?

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* 7. Does this currently concern you?

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* 8. Are you worried about possibly losing your balance?

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* 9. Do you experience difficulty getting out of a chair?

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* 10. Have you noticed your walking is slowing down or unsteady?

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