Full Name *

Email *

Phone *

What are you struggling with in your body right now? Be as specific as you can. *

What are your goals with your body and movement, and what do you want my help with specifically *

On a scale of 1-10, how happy are you with the current state of your body & health? Why is it important that you improve it now? *

Please select from the options below all of the professional help you've already tried: *

Physical Therapy

Personal Training

Chiropractic

Osteopathy

Body Work (massage therapy, rolfing, structural integration)

PRP, prolo-therapy, stem Cells, dry needling, or cortisone injections

Other professional help

NO PROFESSIONAL HELP YET.  JUST RESEARCHING AND MY OWN EXERCISES.

Are you coachable and willing invest to apply my coaching methods? *

YES

No

Please select your yearly income level *

$0 - $49,000

$50,000 - $74,999

$75,000 - $124,000

$125,000 - $199,000

$200,000 - $299,000

$300,000 - $499,000

$500,000 +

NOTE: Coaching is NOT priced based on income. Everyone invests the same for a given level of coaching. This question simply helps determine whether 1-on-1 coaching or a group coaching option is the best fit.  Please answer honestly so I can recommend the right solution for you.

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