Get Some Free Advice from Vital Strength and Physiology

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Want some advice on what you should do about a current performance lull or chronic injury? Fill out this quick survey and the Performance and Rehab experts at Vital Strength and Physiology will get back to you with some free advice and suggestions on next steps. Even if we don't think we can specifically help you, we can give you some direction from here.

Email *

Full Name *

Tell us more about yourself (your age, are you an athlete, do you play sports or do activities, what activities are going well and which ones not so much... etc). *

Do you have any chronic conditions? (i.e. hypertension, diabetes, cancer, etc) *

What type of performance or rehabilitation problems are you currently facing? *

What have you already tried to fix your performance or rehabilitation problem? *

What is the current amount (hours/intensity) and type of training you're doing? *

What is the goal amount and type of training you want to be able to do? *

Check off your #1 goal

Improved health

Improved endurance

Increased strength

Increased power

Sport specific/Individualized training

Increased muscle mass

Fat loss

Weight/muscle gain

Get out of pain

Other:

What area would you like advice in? *

Anything else you want us to know?

How did you hear about us? Or how did you find our website? *

When we follow up with some advice on what we think your next steps should be, how would you like to be contacted?

Email (if different from the one you provided above, list it in the last question)

Phone call (provide below)

Text message (provide phone # below)

Your contact information where you prefer to be reached:

Send me a copy of my responses.

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