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1. Rate your current activity level on a scale of 1-10.

Select any additional areas below that you would like to address:

Please indicate the main areas that you would like to improve/work on your body.(Required)
4. Rate your current pain/discomfort on a scale of 1-10.(Required)
5. From these 3 options, which is most important to you and what is your main goal?

to be entered by stretch practitioner:

Select any imbalances that apply(Required)
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