top of page
Pelvic Health and Orthopedic Physical Therapy in Fairfield, CT

Would you benefit from pelvic floor physical therapy?

Fill out this questionnaire to help determine if you would benefit from pelvic floor PT. This is adapted from the Cozean Pelvic Dysfunction Screening Protocol, with additional information added from our years of experience helping patients with pelvic floor issues. 

Manual Therapy Specialists Pelvic Floor Screen

Check all that apply
bottom of page