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Tell us about you and your goals.

We want to get to know a little bit about your pain problem to see if we think we may be able to help.  

One of our team members will connect with you after you submit this quick, free assessment. 

Click the button below to start.

Start

Question 1 of 7

Briefly tell us about your pain problem. Where it is and when and how it started 

Question 2 of 7

What your goals in working with us? 

What do you want to accomplish and what would getting out of pain and being able to do these activities mean to you? 

Question 3 of 7

What other things have you tried to solve this particular issue? 

(Select all that apply)
A

Visited my doctor or other specialist

B

Physical Therapy

C

Chiropractic

D

Massage

E

Pain Medications

F

Alternative Medicine

G

Nothing yet.

Question 4 of 7

Is there something specific you think will help you feel better? 

(Select all that apply)
A

A thorough movement assessment to find out where the pain is coming from

B

Hands on, manual therapy

C

Dry Needling

D

Cupping

E

Joint Manipulation (Cracking)

F

One on One Coaching / Personal Training for Strength and Flexibility.

G

Online exercise videos for an online or home exercise program.

H

I need / want it all !!!

I

You're the expert, you tell me.

Question 5 of 7

When are you looking to get started? 

Question 6 of 7

Do you have a preferred location? 

(Select all that apply)
A

Hudson, OH. (Inside CrossFit Cadre)

B

Beachwood, OH. (Inside InMotion)

C

Cleveland, OH. (Inside CrossFit CLE)

D

Fairview Park, OH. (Inside Ctown Fitness West)

Question 7 of 7

How did you hear about us? 

(Select all that apply)
A

Friend

B

Medical Professional Referral

C

Google Search

D

Instagram / Facebook

E

YouTube

F

The PHYT For Tomorrow Podcast

G

Other

Confirm and Submit