Let’s get to know each other. Feel free to give as much detail as possible so I can get a better idea of your current situation, goals etc. Name * First Name Last Name Email * Have you ever done fascia release before? What are your primary goals for these sessions? What is your occupation? Do you have any past or existing injuries or chronic pain? Do you do any form of sport or exercise? How are your stress levels? How would you describe your breathing? Do you generally breathe through your mouth or nose? Do you snore? Anything else I should know? Disclaimer The information provided in this questionnaire and during your fascia release sessions is intended for general wellness and informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. By checking the box below, you're agreeing to the disclaimer and that all of the information you've provided above is accurate and up to date to the best of your knowledge I have read and understand the above disclaimer Thank you!
