check

Is Active Life Right for Me?

Please answer a few questions to help us evaluate your situation.

Click the button below to start.

Start

Question 1 of 6

Where do you experience pain? Describe the location and duration. Please be as detailed as possible. Ex: My right knee for 3 months. It started after I did heavy squats and has bothered me ever since.

Question 2 of 6

Please describe your CURRENT form of exercise: CrossFit, powerlifting, Olympic lifting, weight training, running, cycling, I don’t exercise. Has it changed since onset of injury? Ex: I currently do CrossFit 4-5 days per week but I have to modify many movements.

Question 3 of 6

Have you seen a doctor or healthcare professional about this? If yes, when? Ex: Yes, I went to physical therapy for 6 weeks. I stopped going about a month ago.

Question 4 of 6

Describe your goals. Please be as detailed as possible. Ex: I want to be able to do all my workouts pain free and without having to modify movements or worry about my knee.

Question 5 of 6

How would you rate your priority of finding a solution?

A

High

B

Medium

C

Low

Question 6 of 6

Phone #. We may text with questions about what you entered. Please include country code if not US and double check your entry so we don't text the wrong person.

Confirm and Submit