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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.

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, ...)

Our hourly rate is $120. If you decide not to continue with us after the first session, you get a refund.

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 have capacity for about an hour of self-guided experiments 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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