A clearer start to your visit

Pain & Movement
Self-Assessment

Prepare for a physiotherapy assessment in Kolkata. Tell us what is affecting your day, organise your questions and choose your next step.

  • Free online check
  • No phone number needed
  • Booking is optional

Step 1 of 3 · Safety first

Before you begin

For adults aged 18 and over. For a child, contact an appropriate healthcare professional. If you feel seriously unwell, seek medical help without completing this form.

1. Do you have any of these problems now?
  • Chest pain, or symptoms after a serious accident.
  • Back pain with new trouble passing urine, or loss of bladder or bowel control.
  • Loss of feeling around your groin or bottom.
  • Severe or worsening weakness or loss of feeling in both legs.
  • After an injury: an arm or leg looks bent out of shape, has lost feeling, feels cold, or looks blue or grey.
2. Do you have any of these other problems?
  • Pain that suddenly became very strong, or is getting worse quickly.
  • Pain along with a fever or feeling unwell.
  • After an injury: a lot of swelling, or difficulty standing on the injured leg or walking.

These questions do not cover every serious problem. Even if you answer “No”, get medical advice if you feel unwell or are worried.

Understand the check

Prepare for a conversation, at your pace

It can be difficult to explain pain or a movement problem during a short conversation. This self-assessment helps adults organise where the problem is, how long it has lasted, which activities it affects and what they would like help with.

Use the summary to start a discussion at Chiropractic Solution in Kalighat or Maniktala. It does not recommend a treatment or replace an examination. You do not need to complete it to book a visit.

Answers are not automatically sent to the clinic. Download your summary if you want to keep it, and store the file privately on your device. Read our privacy policy.

Explore care for your concern

Read about assessment and care options before your visit. These links are general information, not recommendations based on your answers.

Back painSitting, bending and everyday movementNeck painDesk work and neck movementShoulder stiffnessReaching, dressing and arm movementKnee painWalking, stairs and returning to activityAnkle concernsAnkle movement and injury rehabilitationWrist and hand concernsUsing your hand for daily tasksBalance and walkingConfidence with everyday movement

From your summary to your first visit

  1. Review your answers

    Go back to edit, or download your summary. It is not a diagnosis and does not reserve an appointment.

  2. Choose a clinic

    If you would like a visit, choose Kalighat or Maniktala and fill in the appointment request. Bring your downloaded summary; it will not transfer automatically.

  3. Wait for confirmation

    Our team will contact you to confirm a suitable time. Bring relevant reports and a list of medicines or questions you want to discuss.

Read the first-visit guide

Visit us in Kalighat or Maniktala

Clinic appointments only; no home visits. You can request a visit directly without completing the questionnaire. If any warning signs apply, follow the medical-help guidance above first.

Questions before you begin

Is this pain and movement check free?

Yes. You can complete this online check and view or download your summary without paying or entering a phone number. Clinic consultation and treatment have separate charges; see our fees page.

Will it diagnose my pain?

No. Your answers describe your concerns. They do not identify a medical condition, rule out serious illness or decide which treatment you need. A clinician assesses your history and symptoms before recommending care.

Do I have to book after completing it?

No. Booking is optional. You can download your summary and keep it for a healthcare appointment. If you choose our clinic, select Kalighat or Maniktala and complete the appointment-request form.

Does the clinic automatically receive my answers?

No. This questionnaire keeps answers in page memory, not in a saved patient record. Refreshing or leaving clears them. Download your summary before leaving and bring it to your visit. It is not automatically sent by email, WhatsApp or the booking form.

How many physiotherapy sessions will I need?

That cannot be decided by this questionnaire. The number and spacing of visits depend on your condition, how long it has affected you, your goals and your response to care. Discuss the plan and costs after an assessment.

Can I use this if I have difficulty walking or keeping my balance?

Adults can use it to organise movement or balance concerns even without pain. Start with the safety questions. If you feel seriously unwell or develop concerning new symptoms, seek medical help rather than waiting for a routine appointment.

Can I arrange a home visit?

We offer appointments at our Kalighat and Maniktala clinics only. We do not provide home visits. Please contact your chosen clinic before travelling if you need help with access.

Consultation & treatment feesPlanning your sessions

About the safety guidance

Warning-sign information draws on NHS back pain guidance and NHS sprains and strains guidance. Use local emergency or urgent medical services in India. This questionnaire is not a complete safety screen and cannot rule out serious illness.