Questionnaire Which practitioner is right for me? Which practitioner is right for me? Answer the questions below and we will be in touch with you via e-mail Are you experiencing pain? * Yes No Have you sought help for this issue before? * I have been extensively undergoing various types of rehab therapy. I have met with another practitioner. I have not sought help for this issue. Is this issue related to a motor vehicle accident? * Yes No Are you currently performing any type of structured movement or exercise to help with this issue? * I have searched online for common exercises used for similar issues. I am not performing any specific movement. I received exercise prescription from another health care provider. If you are not performing any specific movements, are you seeking any of the following: * Performance Coaching Personal Training Return to work programs None of the above. What is your level of exercise experience ? * Extensive (multiple times weekly for 5+ years) Moderate (Infrequent, on and off exercise at varying intensities) Beginner (Have never performed a consistent exercise regimen for any extended period of time) Name * Your E-Mail Address: * Your phone number: * If you are human, leave this field blank. Submit Δ