Sciatica Proof Lab Application
A Private 3-Day 1:1 Experience
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
1. How long has sciatica been affecting your life?
*
2-6 months
6-12 months
1-3 years
3-5 years
5+ years
2. What are you most afraid will happen if you don’t improve?
*
3. What have you already tried (treatment wise)?
*
4. On a scale of 1–10, how ready are you to solve this?
*
1=Don't care / 10= I will do whatever it takes to live normally again
5. If we discover your body CAN change, are you open to guidance on the fastest path forward?
*
Yes
No
6. What Time Zone are you in (this will help me with scheduling)
7. If we determine you are a strong fit, how soon are you hoping to begin?
Immediately
Within 30 days
1-3 months
I am simply researching
8. After our Sciatica Proof Lab, clients typically invest anywhere from $997 to $2500 (depending on level of support and needs). IF we are able to prove to you we can help, are you financially prepared to invest into solving your sciatica problem?
Yes
Most Likey
No
Not at this time
Submit
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