Screen lead Form | Striveperformance

First name

Last name

Email

Phone

Do you currently have pain related to running?

No

yes- while running

yes- after running

yes- both during and after running

About how many miles do you run per week?

<5 miles

5-10 miles

10-20 miles

20+ miles

What would you most like help with?

Staying injury free.

Improving strength or mobility for running

Reducing pain or recurring issures

Improving efficiency or performance

Guidance for return to running

Are you interested in learning more about follow-up physical therapy or mobility sessions?

Yes

Maybe/ I would like more info

Not at this time