Name *

First Name

Last Name

Using the human diagram picture above, check the top 3 locations in which you experience the most pain or discomfort. *

If none, choose N/A

1 - Right Shoulder

2 - Left Shoulder

3 - Right Hip

4 - Left Hip

5 - Right Knee

6 - Left Knee

7 - Right Elbow

8 - Left Elbow

9 - Right Wrist

10 - Left Wrist

11 - Right Ankle

12 - Left Ankle

13 - Neck or Upper Back

14 - Mid-Back

15 - Low Back

N/A

Did you find the weekly education helpful? *

Yes

No

Did you use the Program Guide movements or go to the online Texins Movement Library to use any of the stability, mobility, or soft tissue videos for your benefit? *

Yes

No

Did you attend any of the live virtual recharge/stretch breaks? *

Yes

No

Would you like to see more programs like this one in the future? *

Referring to mobility and posture, moving better, and reducing muscle aches and pains.

Yes

No

No Opinion