Pain Score Quiz – What’s Your Score? » Borja Physical Therapy And Weight Loss Clinic

Borja Physical Therapy And Weight Loss Clinic - 44656 Mound Rd. Sterling Heights, MI 48314

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Location

Address:
Borja Physical Therapy & Weight Loss Clinic
44656 Mound Rd.
Sterling Heights, MI 48314
Phone: 586-884-4565

Directions:
We are located in the southeast corner of major crossroads, M-59 and Mound Rd. Look for a business plaza called, "Sue's Plaza" which has a big red sign out front. We are right next door to UPS and across the street from Walmart and LA Fitness.

Directions On Google Maps

GET STARTED

- Step 1 of 10

Let's get started...What are you looking for?

What are you looking for? *

Physical Therapy
Eliminate Pain
Weight Loss

Do you experience pain?

Do you experience pain? *

How Much Pain Do You Experience, On A Scale Of 1 - 10?

Pain Slider (Eliminate Pain)

My highest pain level is: 0 /10 (10 = Extreme pain)

What is your weight loss goal?

What is your weight loss goal? *

1-20lbs
21-30lbs
31-50lbs
51lbs+

How did you get injured?

Select the reason for starting physical therapy: *

Car Accident
Work Injury
Something Else

Which of the following features would you be interested in as part of your Weight Loss Program?

Which of the following features would you be interested in as part of your Weight Loss Program? *

Nutrition/Diet Guidance
Prepared Meals
Supplementation
Body Measurements (Tracking progress)
Exercise Guidance

Are you seeking post surgical care?

Are you coming to physical therapy for a recent surgery? *

Do you currently take any supplements regularly?

Do you currently take any supplements regularly? *

Select the supplements you regularly use: *

Which area of your body is most injured/limited?

Body part *

If you don't have limitation or pain at any of the listed areas, please select "None"

Which exercise environment do you prefer?

Which exercise environment do you prefer? *

In a group/class
One on one
Either is fine

When are you looking to start physical therapy?

When are you looking to Start Physical Therapy Services? *

Immediate
Within 1 Week
Within 2-4 Weeks
Within 1-3 Months

Which of these services interests you?

Which Of These Services Interests You? (Eliminate Pain) *

Physical Therapy
LightForce® Laser Therapy
Hill DT™ Spinal Decompression

How often do you currently exercise?

How often do you currently exercise? *

Less than once a week
1-2 times per week
3-5 times per week
Every day

Your Name?

First name #1 (PT > Immediate or Within 1 Week) *

Last name #1 (PT > Immediate or Within 1 Week) *

Are you interested in being contacted to learn more about our unique Physical Therapy program?

Interested In Being Contacted To Learn More About PT? (PT > 2-4 wks or Unsure) *

Sure, I'd like to be contacted
No thanks, I'm just looking to learn more

When are you looking to start services?

When are you looking to Start Services? (Eliminate Pain Version) *

Immediate
Within 1 Week
Within 2-4 Weeks
Within 1-3 Months

Would you be interested in purchasing prepared meals as part of a weight loss program?

Would you be interested in purchasing prepared meals as part of a weight loss program? *

Yes
No
Unsure

Prepared meals can be made to order on a subscription basis to ensure nutrition and maximum results. Many would also rather learn which foods to buy, so they can shop and prepare their own meals.

Phone Number?

Form #1 - Phone Field (PT > Immediate or Within 1 Wk) *

By providing your phone number, you agree to Borja PT's Privacy Policy.

Your Name?

Form #2 - First Name Field (PT > 2-4 wks or 1-3 Mo > Contact About Pt Program Yes) *

Form #2 - Last Name Field (PT > 2-4 wks or 1-3 Mo > Contact About Pt Program Yes) *

What's Your Name?

Form #5 - First Name Field (Eliminate Pain start > PT OR Laser OR Hill DT >Immediate or Within 1 Wk) *

Form #5 - Last Name Field (Eliminate Pain start > PT OR Laser OR Hill DT >Immediate or Within 1 Wk) *

Would You Be Interested In A One-Time FREE Physical Therapy Session?

Free DV Option Field - YES or NO? (PT > 2-4 wks or 1-3 Mo > Contact About PT? No) *

Sure, I'd like to learn more!
No thanks. I'm not interested at this time

Would You Be Interested In A One-Time FREE LightForce® Laser Treatment?

Free Laser Option Field - YES or NO? (Elim Pain > 2-4 wks or 1-3 Mo) *

Sure, I'd like to learn more!
No thanks. I'm not interested at this time

Would You Be Interested In A One-Time FREE Spinal Decompression Treatment?

Free Decompression Option Field - YES or NO? (Elim Pain > 2-4 wks or 1-3 Mo) *

Sure, I'd like to learn more!
No thanks. I'm not interested at this time

When would you like to start weight loss services?

When would you like to start weight loss services? *

Immediate
Within 1 Week
Within 2-4 Weeks
Within 1-3 Months

Email address?

Form #1 - Email Field (PT > Immediate or Within 1 Wk) *

We hate spam and promise to keep your email safe. By providing your email address, you agree to Borja PT's Privacy Policy.

Phone Number?

Form #2 - Phone Field (PT > 2-4 wks or 1-3 Mo > Contact About Pt Program Yes) *

By providing your phone number, you agree to Borja PT's Privacy Policy.

Great, complete the form to access your FREE session:

Form #3 - First Name Field (PT > 2-4wks or 1-3Mo > Contact About PT? No > Take DV Offer? Yes) *

Form #3 - Last Name Field (PT > 2-4wks or 1-3Mo > Contact About PT? No > Take DV Offer? Yes) *

Form #3 - Phone Field (PT > 2-4wks or 1-3Mo > Contact About PT? No > Take DV Offer? Yes) *

By providing your phone number, you agree to Borja PT's Privacy Policy.

Phone Number?

Form #5 - Phone Field (Eliminate Pain > PT OR Laser OR Decompression > Immediate or Within 1 Wk) *

By providing your phone number, you agree to Borja PT's Privacy Policy.

Great, complete the form to access your FREE session:

Form #6 - First Name Field (Eliminate Pain > 2-4 Wks or 1-3 Mo > DV - Yes OR Laser Demo - Yes OR Decompression Demo - Yes) *

Form #6 - Last Name Field (Eliminate Pain > 2-4 Wks or 1-3 Mo > Laser Demo Offer Yes) *

Form #6 - Phone Field (Eliminate Pain > 2-4 Wks or 1-3 Mo > DV - Yes OR Laser Demo - Yes OR Decompression Demo - Yes) *

By providing your phone number, you agree to Borja PT's Privacy Policy.

That's ok! What's your name?

Form #8 - Name Field (Full optional) (Eliminate Pain > Laser Demo? No OR Decompression? No) *

If you'd like to learn more about physical therapy...this FREE content will help:

Select your choice below.

Alt Offer #2: LM Choices (PT > 2-4 wks or 1-3 Mo > Contact About PT? No > PT Alt Offer #1: DV? No + Body Part: Other) *

Top 20 Frequently Asked Questions About PT

If you'd like to learn more about healing your neck naturally...this FREE content will help:

Select your choice below.

Alt Offer #2: LM Choices (PT > 2-4 wks or 1-3 Mo > Contact About PT? No > PT Alt Offer #1: DV? No + Body Part: Neck) *

Top 3 Exercises For Neck & Migraine Pain
7 Easy Things To Ease Chronic Shoulder And Neck Pain
7 Hidden Secrets For Relief Of Neck And Back Arthritis

If you'd like to learn more about healing your shoulder naturally...this FREE content will help:

Select your choice below.

Alt Offer #2: LM Choices (PT > 2-4 wks or 1-3 Mo > Contact About PT? No > PT Alt Offer #1: DV? No + Body Part: Shoulder) *

Top 3 Exercises For Shoulder And Rotator Cuff Pain
7 Easy Things To Ease Chronic Shoulder And Neck Pain
Top 20 Frequently Asked Questions About PT

If you'd like to learn more about healing your elbow naturally...this FREE content will help:

Select your choice below.

Alt Offer #2: LM Choices (PT > 2-4 wks or 1-3 Mo > Contact About PT? No > PT Alt Offer #1: DV? No + Body Part: Elbow) *

Top 20 Frequently Asked Questions About PT

If you'd like to learn more about healing your back naturally...this FREE content will help:

Select your choice below.

Alt Offer #2: LM Choices (PT > 2-4 wks or 1-3 Mo > Contact About PT? No > PT Alt Offer #1: DV? No + Body Part: Mid Back) *

7 Hidden Secrets For Relief Of Neck And Back Arthritis
7 Easy Things To Ease Chronic Shoulder And Neck Pain
Top 20 Frequently Asked Questions About PT

If you'd like to learn more about healing your low back naturally...this FREE content will help:

Select your choice below.

Alt Offer #2: LM Choices (PT > 2-4 wks or 1-3 Mo > Contact About PT? No > PT Alt Offer #1: DV? No + Body Part: Lower Back) *

Top 3 Exercises For Lower Back Pain And Sciatica
9 Surefire Ways To Alleviate Back Pain And Sciatica
Top 10 Burning Questions For Sciatica

If you'd like to learn more about healing your hip naturally...this FREE content will help:

Select your choice below.

Alt Offer #2: LM Choices (PT > 2-4 wks or 1-3 Mo > Contact About PT? No > PT Alt Offer #1: DV? No + Body Part: Hip) *

12 Ultra Simple Ways Fullproof Your Lifestyle From Hip Knee And Back Pain
Top 20 Frequently Asked Questions About PT
Success Stories From People Who Suffered From Back Hip And Sciatica Pain

If you'd like to learn more about healing your knee naturally...this FREE content will help:

Select your choice below.

Alt Offer #2: LM Choices (PT > 2-4 wks or 1-3 Mo > Contact About PT? No > PT Alt Offer #1: DV? No + Body Part: Knee) *

Top 3 Exercises For Knee Pain
10 Simple Tricks To Alleviate Knee And Ankle Pain
5 Reasons You Suffer With Knee Pain And How To Fix It

If you'd like to learn more about healing your ankle or foot naturally...this FREE content will help:

Select your choice below.

Alt Offer #2: LM Choices (PT > 2-4 wks or 1-3 Mo > Contact About PT? No > PT Alt Offer #1: DV? No + Body Part: Ankle/Toe/Foot) *

Top 3 Exercises For Ankle And Foot Pain
10 Simple Tricks To Alleviate Knee And Ankle Pain
Top 20 Frequently Asked Questions About PT

What's your name?

Form #0 - Name Field - Full (Weight Loss) *

First

Last

You're just about done!

Click the button below to finish submitting your request:

Email?

Form #2 - Email Field (PT > 2-4 wks or 1-3 Mo > Contact About Pt Program Yes) *

We hate spam and promise to keep your email safe. By providing your email address, you agree to Borja PT's Privacy Policy.

Where should we send your offer?

Form #3 - Email Field (PT > 2-4wks or 1-3Mo > Contact About PT? No > Take DV Offer? Yes) *

We hate spam and promise to keep your email safe. By providing your email address, you agree to Borja PT's Privacy Policy.

Where should we send your FREE resource?

Smart Choice! Where should we send your resource?

Success Stories of People Like You Suffering From Back, Hip and Sciatica Pain

5 Reasons You Continue To Needlessly Suffer From Knee Pain

7 Easy Things You Can Do To Ease Chronic Neck & Shoulder Pain

7 Hidden Secrets To Permanent Neck & Back Arthritis Relief

10 Simple Tricks To Alleviate Knee and Ankle Pain

The Top 10 Burning Questions About Sciatica

12 Ultra Simple Ways To Full Proof Your Lifestyle At Home From Hip Knee and Lower Back Pain

Form #4 - Full Name Field (PT > 2-4wks or 1-3Mo > Contact About PT? No > Take DV Offer? No > Take LM Final Offer? Yes) *

Form #4 - Email Field (PT > 2-4wks or 1-3Mo > Contact About PT? No > Take DV Offer? No > Take LM Final Offer? Yes) *

We hate spam and promise to keep your email safe. By providing your email address, you agree to Borja PT's Privacy Policy.

Form #7 - Full Name Field (Eliminate Pain > Physical Therapy > DV Offer? No > LM Offer? Yes) *

Email Field #7 (Eliminate Pain > Physical Therapy > DV Offer? No > LM Offer? Yes) *

We hate spam and promise to keep your email safe. By providing your email address, you agree to Borja PT's Privacy Policy.

Email?

Form #5 - Email Field (Eliminate Pain > PT Or Laser OR Hill DT> Immediate or Within 1 Wk) *

We hate spam and promise to keep your email safe. By providing your email address, you agree to Borja PT's Privacy Policy.

Where should we send your offer?

Form #6 - Email Field (Eliminate Pain > 2-4 wks - 1-3mo > DV - Yes OR Laser Demo - Yes OR Decompression - Yes) *

We hate spam and promise to keep your email safe. By providing your email address, you agree to Borja PT's Privacy Policy.

Get more information about our LightForce® Laser program AND a special offer included!
Let us know where to send it:

Get more information about our Hill DT® Spinal Decompression program AND a special offer included!
Let us know where to send it:

Form #8 - Email Field (Eliminate Pain > Laser OR Decompression > 2-4 Wks OR 1-3 Mo > Demo Offer - No > Offer Info Instead) *

We hate spam and promise to keep your email safe. By providing your email address, you agree to Borja PT's Privacy Policy.

Coming Soon! We're revamping our Weight Loss One™ Program and is currently closed to the public. If you'd like information about the program including features, pricing and get early access, fill out the fields below:

Form #0 - Email Field (WL) Email *

Form #0 - Phone field (WL) Phone

Click To Call

Click To Send SMS

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Get Started
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Get Started

- Step 1 of 10

Select the topic below that interests you.

What are you looking for? *

Physical Therapy
Eliminate Pain
Weight Loss

Do you experience pain?

Do you experience pain? *

How Much Pain Do You Experience, On A Scale Of 1 - 10?

Pain Slider (Eliminate Pain)

My highest pain level is: 0 /10 (10 = Extreme pain)

What is your weight loss goal?

What is your weight loss goal? *

1-20lbs
21-30lbs
31-50lbs
51lbs+

How did you get injured?

Select the reason for starting physical therapy: *

Car Accident
Work Injury
Something Else

Which of the following features would you be interested in as part of your Weight Loss Program?

Which of the following features would you be interested in as part of your Weight Loss Program? *

Nutrition/Diet Guidance
Prepared Meals
Supplementation
Body Measurements (Tracking progress)
Exercise Guidance

Are you seeking post surgical care?

Are you coming to physical therapy for a recent surgery? *

Do you currently take any supplements regularly?

Do you currently take any supplements regularly? *

Select the supplements you regularly use: *

Which area of your body is most injured/limited?

Body part *

If you don't have limitation or pain at any of the listed areas, please select "None"

Which exercise environment do you prefer?

Which exercise environment do you prefer? *

In a group/class
One on one
Either is fine

When are you looking to start physical therapy?

When are you looking to Start Physical Therapy Services? *

Immediate
Within 1 Week
Within 2-4 Weeks
Within 1-3 Months

Which of these services interests you?

Which Of These Services Interests You? (Eliminate Pain) *

Physical Therapy
LightForce® Laser Therapy
Hill DT™ Spinal Decompression

How often do you currently exercise?

How often do you currently exercise? *

Less than once a week
1-2 times per week
3-5 times per week
Every day

Your Name?

Form #1 - First Name Field (PT > Immediate or Within 1 Wk) *

Form #1 - Last Name Field (PT > Immediate or Within 1 Wk) *

Are you interested in being contacted to learn more about our unique Physical Therapy program?

Interested In Being Contacted To Learn More About PT? (PT > 2-4 wks or Unsure) *

Sure, I'd like to be contacted
No thanks, I'm just looking to learn more

When are you looking to start services?

When are you looking to Start Services? (Eliminate Pain Version) *

Immediate
Within 1 Week
Within 2-4 Weeks
Within 1-3 Months

Would you be interested in purchasing prepared meals as part of a weight loss program?

Would you be interested in purchasing prepared meals as part of a weight loss program? *

Yes
No
Unsure

Prepared meals can be made to order on a subscription basis to ensure nutrition and maximum results. Many would also rather learn which foods to buy, so they can shop and prepare their own meals.

Phone Number?

Form #1 - Phone Field (PT > Immediate or Within 1 Wk) *

By providing your phone number, you agree to Borja PT's Privacy Policy.

Your Name?

Form #2 - First Name Field (PT > 2-4 wks or 1-3 Mo > Contact About Pt Program Yes) *

Form #2 - Last Name Field (PT > 2-4 wks or 1-3 Mo > Contact About Pt Program Yes) *

What's Your Name?

Form #5 - First Name Field (Eliminate Pain start > PT OR Laser OR Hill DT >Immediate or Within 1 Wk) *

Form #5 - Last Name Field (Eliminate Pain start > PT OR Laser OR Hill DT >Immediate or Within 1 Wk) *

Would You Be Interested In A One-Time FREE Physical Therapy Session?

Free DV Option Field - YES or NO? (PT > 2-4 wks or 1-3 Mo > Contact About PT? No) *

Sure, I'd like to learn more!
No thanks. I'm not interested at this time

Would You Be Interested In A One-Time FREE LightForce® Laser Treatment?

Free Laser Option Field - YES or NO? (Elim Pain > 2-4 wks or 1-3 Mo) *

Sure, I'd like to learn more!
No thanks. I'm not interested at this time

Would You Be Interested In A One-Time FREE Spinal Decompression Treatment?

Free Decompression Option Field - YES or NO? (Elim Pain > 2-4 wks or 1-3 Mo) *

Sure, I'd like to learn more!
No thanks. I'm not interested at this time

When would you like to start weight loss services?

When would you like to start weight loss services? *

Immediate
Within 1 Week
Within 2-4 Weeks
Within 1-3 Months

Email address?

Form #1 - Email Field (PT > Immediate or Within 1 Wk) *

We hate spam and promise to keep your email safe. By providing your email address, you agree to Borja PT's Privacy Policy.

Phone Number?

Form #2 - Phone Field (PT > 2-4 wks or 1-3 Mo > Contact About Pt Program Yes) *

By providing your phone number, you agree to Borja PT's Privacy Policy.

Great, complete the form to access your FREE session:

Form #3 - First Name Field (PT > 2-4wks or 1-3Mo > Contact About PT? No > Take DV Offer? Yes) *

Form #3 - Last Name Field (PT > 2-4wks or 1-3Mo > Contact About PT? No > Take DV Offer? Yes) *

Form #3 - Phone Field (PT > 2-4wks or 1-3Mo > Contact About PT? No > Take DV Offer? Yes) *

By providing your phone number, you agree to Borja PT's Privacy Policy.

Phone Number?

Form #5 - Phone Field (Eliminate Pain > PT OR Laser OR Decompression > Immediate or Within 1 Wk) *

By providing your phone number, you agree to Borja PT's Privacy Policy.

Great, complete the form to access your FREE session:

Form #6 - First Name Field (Eliminate Pain > 2-4 Wks or 1-3 Mo > DV - Yes OR Laser Demo - Yes OR Decompression Demo - Yes) *

Form #6 - Last Name Field (Eliminate Pain > 2-4 Wks or 1-3 Mo > Laser Demo Offer Yes) *

Form #6 - Phone Field (Eliminate Pain > 2-4 Wks or 1-3 Mo > DV - Yes OR Laser Demo - Yes OR Decompression Demo - Yes) *

By providing your phone number, you agree to Borja PT's Privacy Policy.

That's ok! What's your name?

Form #8 - Name Field (Full optional) (Eliminate Pain > Laser Demo? No OR Decompression? No) *

If you'd like to learn more about physical therapy...this FREE content will help:

Alt Offer #2: LM Choices (PT > 2-4 wks or 1-3 Mo > Contact About PT? No > PT Alt Offer #1: DV? No + Body Part: Other) *

Top 20 Frequently Asked Questions About PT

If you'd like to learn more about healing your neck naturally...this FREE content will help:

Alt Offer #2: LM Choices (PT > 2-4 wks or 1-3 Mo > Contact About PT? No > PT Alt Offer #1: DV? No + Body Part: Neck) *

Top 3 Exercises For Neck & Migraine Pain
7 Easy Things To Ease Chronic Shoulder And Neck Pain
7 Hidden Secrets For Relief Of Neck And Back Arthritis

If you'd like to learn more about healing your shoulder naturally...this FREE content will help:

Alt Offer #2: LM Choices (PT > 2-4 wks or 1-3 Mo > Contact About PT? No > PT Alt Offer #1: DV? No + Body Part: Shoulder) *

Top 3 Exercises For Shoulder And Rotator Cuff Pain
7 Easy Things To Ease Chronic Shoulder And Neck Pain
Top 20 Frequently Asked Questions About PT

If you'd like to learn more about healing your elbow naturally...this FREE content will help:

Alt Offer #2: LM Choices (PT > 2-4 wks or 1-3 Mo > Contact About PT? No > PT Alt Offer #1: DV? No + Body Part: Elbow) *

Top 20 Frequently Asked Questions About PT

If you'd like to learn more about healing your back naturally...this FREE content will help:

Alt Offer #2: LM Choices (PT > 2-4 wks or 1-3 Mo > Contact About PT? No > PT Alt Offer #1: DV? No + Body Part: Mid Back) *

7 Hidden Secrets For Relief Of Neck And Back Arthritis
7 Easy Things To Ease Chronic Shoulder And Neck Pain
Top 20 Frequently Asked Questions About PT

If you'd like to learn more about healing your low back naturally...this FREE content will help:

Alt Offer #2: LM Choices (PT > 2-4 wks or 1-3 Mo > Contact About PT? No > PT Alt Offer #1: DV? No + Body Part: Lower Back) *

Top 3 Exercises For Lower Back Pain And Sciatica
9 Surefire Ways To Alleviate Back Pain And Sciatica
Top 10 Burning Questions For Sciatica

If you'd like to learn more about healing your hip naturally...this FREE content will help:

Alt Offer #2: LM Choices (PT > 2-4 wks or 1-3 Mo > Contact About PT? No > PT Alt Offer #1: DV? No + Body Part: Hip) *

12 Ultra Simple Ways Fullproof Your Lifestyle From Hip Knee And Back Pain
Top 20 Frequently Asked Questions About PT
Success Stories From People Who Suffered From Back Hip And Sciatica Pain

If you'd like to learn more about healing your knee naturally...this FREE content will help:

Alt Offer #2: LM Choices (PT > 2-4 wks or 1-3 Mo > Contact About PT? No > PT Alt Offer #1: DV? No + Body Part: Knee) *

Top 3 Exercises For Knee Pain
10 Simple Tricks To Alleviate Knee And Ankle Pain
5 Reasons You Suffer With Knee Pain And How To Fix It

If you'd like to learn more about healing your ankle or foot naturally...this FREE content will help:

Alt Offer #2: LM Choices (PT > 2-4 wks or 1-3 Mo > Contact About PT? No > PT Alt Offer #1: DV? No + Body Part: Ankle/Toe/Foot) *

Top 3 Exercises For Ankle And Foot Pain
10 Simple Tricks To Alleviate Knee And Ankle Pain
Top 20 Frequently Asked Questions About PT

What's your name?

Form #0 - Name Field - Full (Weight Loss) *

First

Last

You're just about done!

Click the button below to finish submitting your request:

Email?

Form #2 - Email Field (PT > 2-4 wks or 1-3 Mo > Contact About Pt Program Yes) *

We hate spam and promise to keep your email safe. By providing your email address, you agree to Borja PT's Privacy Policy.

Where should we send your offer?

Form #3 - Email Field (PT > 2-4wks or 1-3Mo > Contact About PT? No > Take DV Offer? Yes) *

We hate spam and promise to keep your email safe. By providing your email address, you agree to Borja PT's Privacy Policy.

Where should we send your FREE resource?

Smart Choice! Where should we send your resource?

Form #4 - Full Name Field (PT > 2-4wks or 1-3Mo > Contact About PT? No > Take DV Offer? No > Take LM Final Offer? Yes) *

Form #4 - Email Field (PT > 2-4wks or 1-3Mo > Contact About PT? No > Take DV Offer? No > Take LM Final Offer? Yes) *

We hate spam and promise to keep your email safe. By providing your email address, you agree to Borja PT's Privacy Policy.

Form #7 - Full Name Field (Eliminate Pain > Physical Therapy > DV Offer? No > LM Offer? Yes) *

Email Field #7 (Eliminate Pain > Physical Therapy > DV Offer? No > LM Offer? Yes) *

We hate spam and promise to keep your email safe. By providing your email address, you agree to Borja PT's Privacy Policy.

Email?

Form #5 - Email Field (Eliminate Pain > PT Or Laser OR Hill DT> Immediate or Within 1 Wk) *

We hate spam and promise to keep your email safe. By providing your email address, you agree to Borja PT's Privacy Policy.

Where should we send your offer?

Form #6 - Email Field (Eliminate Pain > 2-4 wks - 1-3mo > DV - Yes OR Laser Demo - Yes OR Decompression - Yes) *

We hate spam and promise to keep your email safe. By providing your email address, you agree to Borja PT's Privacy Policy.

Get more information about our LightForce® Laser program AND a special offer included!
Let us know where to send it:

Get more information about our Hill DT® Spinal Decompression program AND a special offer included!
Let us know where to send it:

Form #8 - Email Field (Eliminate Pain > Laser OR Decompression > 2-4 Wks OR 1-3 Mo > Demo Offer - No > Offer Info Instead) *

We hate spam and promise to keep your email safe. By providing your email address, you agree to Borja PT's Privacy Policy.

Form #0 - Email Field (WL) Email *

Form #0 - Phone field (WL) Phone

GET STARTED

- Step 1 of 10

Let's get started...What are you looking for?

What are you looking for? *

Physical Therapy
Eliminate Pain
Weight Loss

Do you experience pain?

Do you experience pain? *

How Much Pain Do You Experience, On A Scale Of 1 - 10?

Pain Slider (Eliminate Pain)

My highest pain level is: 0 /10 (10 = Extreme pain)

What is your weight loss goal?

What is your weight loss goal? *

1-20lbs
21-30lbs
31-50lbs
51lbs+

How did you get injured?

Select the reason for starting physical therapy: *

Car Accident
Work Injury
Something Else

Which of the following features would you be interested in as part of your Weight Loss Program?

Which of the following features would you be interested in as part of your Weight Loss Program? *

Nutrition/Diet Guidance
Prepared Meals
Supplementation
Body Measurements (Tracking progress)
Exercise Guidance

Are you seeking post surgical care?

Are you coming to physical therapy for a recent surgery? *

Do you currently take any supplements regularly?

Do you currently take any supplements regularly? *

Select the supplements you regularly use: *

Which area of your body is most injured/limited?

Body part *

If you don't have limitation or pain at any of the listed areas, please select "None"

Which exercise environment do you prefer?

Which exercise environment do you prefer? *

In a group/class
One on one
Either is fine

When are you looking to start physical therapy?

When are you looking to Start Physical Therapy Services? *

Immediate
Within 1 Week
Within 2-4 Weeks
Within 1-3 Months

Which of these services interests you?

Which Of These Services Interests You? (Eliminate Pain) *

Physical Therapy
LightForce® Laser Therapy
Hill DT™ Spinal Decompression

How often do you currently exercise?

How often do you currently exercise? *

Less than once a week
1-2 times per week
3-5 times per week
Every day

Your Name?

First name #1 (PT > Immediate or Within 1 Week) *

Last name #1 (PT > Immediate or Within 1 Week) *

Are you interested in being contacted to learn more about our unique Physical Therapy program?

Interested In Being Contacted To Learn More About PT? (PT > 2-4 wks or Unsure) *

Sure, I'd like to be contacted
No thanks, I'm just looking to learn more

When are you looking to start services?

When are you looking to Start Services? (Eliminate Pain Version) *

Immediate
Within 1 Week
Within 2-4 Weeks
Within 1-3 Months

Would you be interested in purchasing prepared meals as part of a weight loss program?

Would you be interested in purchasing prepared meals as part of a weight loss program? *

Yes
No
Unsure

Prepared meals can be made to order on a subscription basis to ensure nutrition and maximum results. Many would also rather learn which foods to buy, so they can shop and prepare their own meals.

Phone Number?

Form #1 - Phone Field (PT > Immediate or Within 1 Wk) *

By providing your phone number, you agree to Borja PT's Privacy Policy.

Your Name?

Form #2 - First Name Field (PT > 2-4 wks or 1-3 Mo > Contact About Pt Program Yes) *

Form #2 - Last Name Field (PT > 2-4 wks or 1-3 Mo > Contact About Pt Program Yes) *

What's Your Name?

Form #5 - First Name Field (Eliminate Pain start > PT OR Laser OR Hill DT >Immediate or Within 1 Wk) *

Form #5 - Last Name Field (Eliminate Pain start > PT OR Laser OR Hill DT >Immediate or Within 1 Wk) *

Would You Be Interested In A One-Time FREE Physical Therapy Session?

Free DV Option Field - YES or NO? (PT > 2-4 wks or 1-3 Mo > Contact About PT? No) *

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If you'd like to learn more about physical therapy...this FREE content will help:

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Top 20 Frequently Asked Questions About PT

If you'd like to learn more about healing your neck naturally...this FREE content will help:

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Top 3 Exercises For Neck & Migraine Pain
7 Easy Things To Ease Chronic Shoulder And Neck Pain
7 Hidden Secrets For Relief Of Neck And Back Arthritis

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Top 3 Exercises For Shoulder And Rotator Cuff Pain
7 Easy Things To Ease Chronic Shoulder And Neck Pain
Top 20 Frequently Asked Questions About PT

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Top 20 Frequently Asked Questions About PT

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7 Hidden Secrets For Relief Of Neck And Back Arthritis
7 Easy Things To Ease Chronic Shoulder And Neck Pain
Top 20 Frequently Asked Questions About PT

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Top 3 Exercises For Lower Back Pain And Sciatica
9 Surefire Ways To Alleviate Back Pain And Sciatica
Top 10 Burning Questions For Sciatica

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12 Ultra Simple Ways Fullproof Your Lifestyle From Hip Knee And Back Pain
Top 20 Frequently Asked Questions About PT
Success Stories From People Who Suffered From Back Hip And Sciatica Pain

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Top 3 Exercises For Knee Pain
10 Simple Tricks To Alleviate Knee And Ankle Pain
5 Reasons You Suffer With Knee Pain And How To Fix It

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Top 3 Exercises For Ankle And Foot Pain
10 Simple Tricks To Alleviate Knee And Ankle Pain
Top 20 Frequently Asked Questions About PT

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Get more information about our LightForce® Laser program AND a special offer included!
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