If you’re coming to Sportsfyssen for your first treatment, you can fill out our health questionnaire here. By filling out the questionnaire in advance, your physiotherapist will be better prepared to help you, and you’ll get the chance to think about and reflect upon your injury and what might have caused it. This will help us, being able to help you better.

Cpr-number:
(According to the Danish Patient Safety Authority, all clinics are required to complete adequate journals, therefore we require a cpr-number (social security number). Our e-mail system is encrypted and meets rules for handling sensitive data.

Name

Address

ZIP code

City/Town

Phone number

E-mail address

Are you a member of "Danmark" (Health insurance company)?

Do you have private health insurance?

Describe your injury

How did the injury occur?

How long have you had this injury?

Do you feel pain while resting?

Do you feel pain while moving around?

Do you do any sport and what kind?

How many hours a week do you do sports?

Did you recently change anything in your sports routine and what?

Have you had any injuries in the past?

Do you suffer from any serious injuries or illnesses and do you have any older x-rays?

Are you currently on any kind of medication?

If yes, what kind?

Please read our privacy policy and tick the box below if you accept it.

Please insert the code below
captcha