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Pain coaching intake form

This form is an expression of interest for working one-on-one with Max Shen and Tanner Holman. Our aim would be to work with you to resolve your pain as rapidly as we can (no more than 6 weeks).

Contact info

Can you describe your experience with pain? (I.e. where it hurts and when, and how long it has been hurting)

Rough goals? (e.g. I want to be able to type without my forearm flaring up).

Briefly, what have you tried for addressing your pain? (e.g. PT, saw doctor, acupuncture, ...)

A note on pricing

We offer 2 options for coaching.
We are happy to do an hourly rate of $120.
Alternatively, we also offer a "pay by result" model. You tell us beforehand what you would like to pay if you achieved your stated goal. If working with us leads to a satisfying result, you simply pay that amount. No tricks.
The initial consultation is free and to see if we are a good fit.

Anything else we should know? Any questions?

How did you hear about us?

How did you hear about us?
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By submitting interest, you acknowledge that you will be able to commit an hour each day for ~4-6 weeks.

By submitting interest, you acknowledge that you are setting a serious intention to put aside time (~1h/day) and emotional space to address your chronic pain.
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