*1.First and Last Name(Required.)

*2.Email(Required.)

*3.Phone Number(Required.)

*4.How much time do you dedicated to stretching during the week?(Required.)

5.Have you had an assisted stretch before?

Yes

No

*6.Where in your body do you feel the most tight/stiff?(Required.)

*7.What are your stretch goals?(Required.)

8.How long of an assisted stretch do you want?

30 minutes

50minutes

9.What are your primary goals in participating in the assisted intro stretch program? (Check all that apply)

Improve flexibility 

Relieve muscle tension

Reduce stress

Enhance athletic performance 

Manage pain

*10.Are you ready to commit and invest in your health?(Required.)

Yes

No