Feedback Form Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Date *What small wins have you had over the past month? Tell me what's going well. *What specific area(s) do you feel like you need the most improvement? Tell me what you could work on. *Do you have any specific requests or concerns? Tell me anything you think I should be aware of, that way I can help you out. *What is your current (specific) goal? *Are there any exercises you are currently doing that you would like to change? *Are there any exercises that you would like to be doing that you are not currently doing? *Do you have any recent specific physical issues or concerns? *YesNoIf yes, please explain:I feel like I am being pushed: *Too hardJust rightNot hard enoughPlease explain:Submit