Thank you for Scheduling

Thank you for taking the time to schedule your personal call with Health By Ratio.

Please fill out this questionnaire prior to your call so we can prepare ahead of your call.

Name
First Last
Email
Phone
Do you currently have injuries, &/or chronic pains, that you are dealing with?
If so, where?
(If Applicable) How did your injuries occur, or did they show up “randomly” from something like overuse?
What recreational or fitness activities, &/or sports do you enjoy, want to improve in, or wish you could participate in?
(If Applicable) How long have you been dealing these injuries &/or pains?
What have you done to rehabilitate?
- Physical Therapy
- Chiropractic
- Massage
- Acupuncture
- Other
If you selected Other, please describe
Have you been cleared by your doctor for general physical activity?
How important is it for you to get your body to functional mobility, stability and health? Would you be willing to spend 15-20min a day?
Would you be interested in finding out more about how your personal fundamental movement & postural patterns are impacting your body's Kinetic Chain, Athletic Performance, and potentially how they're linked to the Injuries you've been dealing with?
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How Our Athletes Functionally Rehab From Injuries While Increasing Athleticism