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Pain-To-PR Application

Full Name

Phone Number

Country

Instagram Handle

Age

Occupation

What’s going on?

What’s the main reason you’re here?

Where else?

Where you’re at

What’s the biggest challenge you’re facing right now?

What does your training generally look like right now?

What have you already tried?

Why do you think it hasn’t worked?

How does your injury impact your life outside of the gym (mentally, emotionally, etc.)?

What are the 2-3 outcomes you’d want to see in the next 2-3 months?

Motivation

Why did you choose that number?

Readiness

If accepted, how soon would you want to get started?

Immediately

Within a month from now

Over a month from now

If you found a program that was exactly what you are looking for, are you in a place in your life where you are able to make a financial and time investment towards solving your injury and getting back to the training you want to be doing?

Yes, I am ready

No, I am not ready

If we decide that coaching is a good fit, would you be making that decision alone, or do you have a significant other who would be involved?

It’s all up to me

My partner would need to be part of the decision

How did you hear about this program?

I understand my answers are private, read by Dan, and used only to see if coaching is a fit.

Let’s get you back under the bar

Your application

What’s going on?

Where you’re at

Motivation

Readiness