Page 1 of 2
Work With DSR — Coaching Application
Let's see if we're a good fit. Fill this out and Neil will be in touch within 24 hours to set up your free 15-minute intro call
Full Name
*
Email
*
Where are you based?
*
How did you find DSR / MrX?
*
How did you find DSR / MrX?
A
Instagram @dsrehab
B
Instagram @mrxathlete
C
Youtube
D
google search
E
referred by someone
F
other
What area of your body are you dealing with?
*
What area of your body are you dealing with?
A
Hip
B
Knee
C
Shoulder
D
Low Back
E
Full Body
F
Other
Where are you right now?
*
Where are you right now?
A
Just finished physio / cleared by a doctor
B
Post-surgery — cleared for exercise
C
Still in treatment but cleared for exercise
D
Managing a chronic issue on my own
E
I'm healthy but want to prevent injury
How long have you been dealing with this?
*
How long have you been dealing with this?
A
Less than 3 months
B
3-6 months
C
6-12 months
D
Over a Year
E
This keeps coming back
What is your main goal?
*
What is your main goal?
A
Rebuild strength after injury or surgery
B
Return to sport or activity
C
Move without pain
D
Build a sustainable fitness foundation
E
General strength and performance
What has held you back from getting here sooner?
*
What has held you back from getting here sooner?
A
Didn't know this kind of coaching existed
B
Tried the gym and got hurt again
C
Wasn't sure I was ready
D
Wasn't sure it was worth it
E
Was waiting to be fully cleared
F
Other
Tell me about what you're dealing with and what you're hoping to achieve. (The more detail the better — injury history, what you've tried, what success looks like for you)
*
Are you open to a free 15-minute intro call?
*
Are you open to a free 15-minute intro call?
A
Yes - Let's do it
B
I'd prefer to start over email first
Anything else you want the team to know before the call?
*
Submit