1) What are the sport specific problems associated with this activity? _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________
2) Are there any contra-indications to treatment? _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________
3) What would be your suggested treatment plan? _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________
4) Are there any other considerations? _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________
5) Other / general comments? _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________