Full Name

Email *

1. How long has your current pain or injury been bothering you? *

Less than 4 Weeks

1-3 months

3+ months or it keeps coming back

2. What best describes your activity level right now? *

I’ve mostly stopped what I enjoy to avoid pain

I still train or stay active, but I’m constantly modifying or holding back

I’m active, but pain or flare-ups limit how consistent or confident I feel

3. What have you already tried to fix this? *

Rest, stretching, ice/heat, occasional care

Chiropractic, PT, massage — some relief, but it never sticks

Multiple approaches, but nothing gave me a clear long-term plan

4. How confident do you feel about what your body can handle right now? *

Not confident — I avoid a lot

Somewhat confident, but I worry about flare-ups

I want more confidence and durability than I have now

5. When pain flares up, what usually happens? *

I rest and wait for it to calm down

I back off activity and slowly ease back in

I’m never fully sure whether I should push, rest, or change something

6. What’s your main goal? *

Just get out of pain

Stay active without constant setbacks

Build a body that feels strong, capable, and reliable long-term

7. Which statement feels most true right now? *

I’m hoping this resolves on its own

I want guidance, but I’m unsure what actually works

I’m ready for a structured plan and real support