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CLIENT INTAKE FORM

Let's spend your appointment time treating you, not reading about you!

450+ 5 star reviews on Facebook, Google & TrustPilot.

STATE 11 IS THE LEADING SOFT TISSUE THERAPY AND SPORTS MASSAGE CLINIC IN SPALDING, LINCOLNSHIRE, AND IS RATED FIVE STARTS ON FACEBOOK AND GOOGLE

Don't you hate it when you pay for an appointment with a therapist, only to find that when you get shown in, half your appointment is spent filling in a form and then the therapist sat there reading it? 

Wouldn't you rather that time was spent actually treating you instead? Wouldn't that be fairer? 

We think so too, so at State 11, we encourage you to fill in your medical history form before you come to see us, so that we can spend less time reading about you, and more time treating you. 

It's just one of the ways we do things differently for you at State 11. 

Simply fill in the form below and click submit!

Everything is stored securely on Google Forms, which is HIPPA and GDPR compliant. 

WHAT OUR CLIENTS SAY:
REAL REVIEWS FROM PEOPLE LIKE YOU!

Dawn says:

Greg always lives up to his well-deserved reputation. I walk in, in pain, and leave feeling like a normal person. 

He always takes the time to listen and tailor treatment according. I am happy to recommend Greg to anyone. 

Nick says:

After sustaining a shoulder injury, I was recommended to go see Greg at State 11 and I'm so glad I did. 

Within our session, he was able to work his magic and relate my shoulder to give it the most mobility it had seen all week. If you ever have a muscle ache, pain or soreness that won't go away, I'd strongly recommend giving State 11 a visit!

Georgia says:

Went to State 11 unable to move my head from left to right after doing handstand push-ups. Greg sorted the problem within 5 minutes of being there! I left being able to turn my head left to right. 

Friendly and professional service! Highly recommend!

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