Current step:1Step 1
2Step 2 - Complaint/Pain
3Ste 3 - Medical History
4Step 4 - Occupation and Condition
5Step 5 - Fitness Level
6Step 6 - Recovery Therapy

MAI Therapy Assessment Form

January 6, 2026

Step 1 - CONTACT INFORMATION

Step 2 - CURRENT COMPLAINT/PAIN

Please choose any areas which you are presently experiencing discomfort and/or pain (use figure below for the reference)

Step 3 - MEDICAL HISTORY

Step 4 - CURRENT OCCUPATION AND CONDITION

Step 5 - FITNESS & WELLBEING

Step 6 - RECOVERY THERAPY