CORA PT In-Store Visit 10/24/19

Our friends at Cora Physical Therapy have teamed up with us to provide an in-store visit to address and assist in the needs our community of runners and athletes.  Our partnership has allowed us to create an opportunity for free Physical Therapy injury screening!  Please complete the form below with your basic information and a brief summary of your issues.  Your responses will be shared with Jeff from Cora PT in order to be prepared for your screening. There are 8 available appointments, filled on a first come, first serve basis. 

First Name*

Last Name*

Email Address*

Age*

Gender*

Male Female

Phone Number*

How many miles do you run per week?*

0-10 11-20 21-30 31-40 41-50 50+

When, during your run, are you having pain?*

Before During After

Tell me more about the pain or the challenge you are having.

I understand that I am voluntarily submitting information and know that this information has been submitted to Fleet Feet Greenville and will be shared with a Physical Therapist at Cora Physical Therapy. I understand that I should be as detailed as possible when describing my situation to get the best response and feedback from the Physical Therapist.*

Yes No

Select Appointment Time 415pm430pm445pm515pm530pm545pm