Healing with Katie Lane Support Application
1:1 Support, guidance and coaching as you navigate life physically and emotionally after disc herniations. I will respond shortly via email 📧 laneconsulting.katie@gmail.com
Name
First Name
Last Name
Email
example@example.com
When did your injury happen?
How is your pain affecting your everyday life?
Your age
What have you done up until this point to heal?
Currently, what are you emotionally struggling with the most?
What questions do you have for Katie?
How did you hear about me?
Instagram
Facebook
Referred from friend or practitioner
Enough With The Small Talk Podcast
Other
How soon are you seeking support?
ASAP
Within the next two months
Just looking
Provide your Instagram Handle
Submit
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