2. How Long Have You Been Dealing With This Pain? *

3. What Activities Do You Wish You Cold Do Without Pain? *

5. Do you Experience Any Of The Following Alongside Your Pain? *

7. What Were Your Results *

Some relief, but the pain comes back

No real improvement

I'm worse off than when I started

I havn't tried treatment yet.

8. How Ready Are You To Fix This? *

🔥 10/10 - I am fully committed

✅ 7-9/10 - I'm looking for the right approach

🤔 4-6/10 - I want to learn more first

❌ 1-3/10 - Just Exploring

9. Are You Local to the Dallas-Fort Worth Metroplex? *

First Name *

Last Name *

Phone *

Email *

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.