Clone of Custom 12-Week Strength Program

Custom 12-Week Mobility & Stretching Program

This form helps David understand your current mobility, movement limitations, and goals so he can create a personalized 12-week stretching and mobility plan that supports your work behind the chair. The investment for your workout plan is $300
Name*

First NameLast Name
Email*
example@example.com
How old are you?*
What is your IG handle?*
What are your primary mobility goals?*
Which areas of your body feel most restricted, stiff, or limited?*

Hip flexorsHamstringsShouldersUpper backNeckLower backAnkles
On a scale of 1-10, how would you rate your current overall mobility?*

1

2

3

4

5

6

7

8

9

10

1 is very limited, 10 is very flexible/range of motion
How often do you currently do any stretching, flexibility or mobility work?*

NeverOccasionally1-2 days a week3-4 days a weekDaily
Do you have any current movement restrictions, aches, or pains that affect your daily life or work?”*
Have you been advised by a clinician against any stretches or movements?*

yesno
If yes, please explain.
Do you currently experience discomfort when…?*

Sitting for long periodsStanding for long periodsReaching overheadBendingSquattingTwistingGetting up from the floor
Does pain limit your range of motion in specific movements?*

yesno
If yes, please describe
Do you participate in any regular physical activities (yoga, pilates, running, etc.)?*

yesno
If yes, please describe
What do you hope to accomplish with improved mobility and flexibility in the next 12 weeks?*
What is your biggest limitation right now when it comes to movement?
Neck mobility*

1

2

3

4

5

6

7

8

9

10

1 is very limited, 10 is very good
Shoulder mobility*

1

2

3

4

5

6

7

8

9

10

1 is very limited, 10 is very good
Thoracic spine rotation (mid-back)*

1

2

3

4

5

6

7

8

9

10

1 is very limited, 10 is very good
Hip mobility*

1

2

3

4

5

6

7

8

9

10

1 is very limited, 10 is very good
Ankle mobility*

1

2

3

4

5

6

7

8

9

10

1 is very limited, 10 is very good
Do you have any known injuries, surgeries, or medical conditions that may affect your mobility?*

yesno
If yes, please explain

My Products

CUSTOM 12-WEEK WORKOUT PLAN

$300.00 Quantity

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Total

$0.00

Disclaimer: The health, fitness, and nutrition services offered by Industry Aligned are for educational purposes only. Results may vary. You should consult your physician or other qualified healthcare provider before beginning any new fitness or nutrition program.The information and programs provided by Industry Aligned are not a substitute for professional medical advice, diagnosis, or treatment.By participating in these activities, you acknowledge and accept that there are inherent risks with physical exercise. You agree to perform all activities at your own risk, and to stop immediately and seek medical advice if you experience any abnormal symptoms.You further release and hold harmless Industry Aligned, its employees, representatives, and affiliates from any and all liability for injuries, damages, or losses of any kind (including, but not limited to, physical injury, illness, death, loss of data, or loss of profits) that may result from your participation in these programs.*

I have read, understood, and agree to the above disclaimer.
This program is a one-time purchase and is non-refundable once payment is submitted. Please confirm that you understand and agree before continuing.*

I agree to the terms
Note: Once you hit Submit, you’ll be redirected to PayPal to complete your purchase.
After David receives your order/payment, your program will be placed in the queue, and you can expect to receive it within 5–7 days.
Thank you for trusting us—we’re excited to get you started!
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Custom 12-Week Mobility & Stretching Program