STOP STRUGGLING WITH PAIN AND MAKE MOVEMENT ACCESSIBLE, ATTAINABLE AND ACCOUNTABLE!
Take a few minutes to fill out the questions below. You’ll then be directed to a page where you can book a BREAKTHROUGH CALL where we can brainstorm a plan together.
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Contact Information
Name*
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Email*
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Phone*
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Age*
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First, let's play a game. What kind of person are you???
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Now, check off any pain symptoms that apply to you:
Select all that apply
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Now, check off any pain triggers that apply to you:
Select all that apply
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Bending forward
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Extending back
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Walking up stairs
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Walking down stairs
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Lifting object off floor
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Loading/unloading
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Laundry
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Gardening
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Vacuuming
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Shoveling snow
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Standing
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Standing for prolonged periods of time
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Walking short distances
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Walking long distances
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Standing up from chair
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Sitting down on chair
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Sitting for prolonged periods of time
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Sitting in a car
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Getting in and out of car
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Twisting
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Lifting one leg off ground when lying on back (L/R)
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Lifting both legs off ground when lying on back
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In the morning
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At night Getting up from floor
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Getting down to floor
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Lying on back
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Lying on front
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Lying on side