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Work With Me
First Name
*
Email address
*
What's your age and sex?
*
Enter today's date
*
Where is your pain?
*
Where is your pain?
A
Foot/Ankle
B
Knee
C
Low Back/Hip
D
Neck
E
Shoulder
F
Elbow
How long have you had this pain?
*
How long have you had this pain?
A
Less than 3 months
B
3-6 months
C
6 months+
What has been the biggest obstacle to improving your pain?
*
If your pain was gone, what specific events or goals would you like to accomplish?
*
What do you think would happen if you do nothing for the next 3 months?
*
Are you ready to commit to a personalized plan to address your pain?
*
Are you ready to commit to a personalized plan to address your pain?
A
Yes
B
No
Which investment plan works best for you?
*
Which investment plan works best for you?
A
Paid in full ($1500 - save $300)
B
Monthly recurring ($600/month - no contract, cancel whenever)
Is there anything else you feel is important for me to know before we start?
*
How did you hear about me?
*
Are you over the age of 18? If not, please provide your guardian's email below. Please note we will not have any virtual calls with you without a legal adult present.
*
Are you over the age of 18? If not, please provide your guardian's email below. Please note we will not have any virtual calls with you without a legal adult present.
Yes
No
Guardian email
I typically review and get back to you within 3-4 hours. Please check your inbox and/or spam from "
[email protected]
".
Submit