Get In Touch

Contact Forms

Curious about why you’re dealing with chronic back pain? Even better, ready to learn how you can be free from it for good?

Simply fill out one of the forms below to take the first step. The short form is ideal for those wanting to book a FREE Discovery Session and get an overview of how our corrective exercise programs can help resolve pain. The long form is designed for those who already recognize the need for coaching, allowing us to dive deeper into your pain, physical condition, and readiness to invest in long-term health.

Short Form

Name

First Name

Last Name

Phone

Reason for enquiry

Long Form

Name

First Name

Last Name

Phone

Are you experiencing pain or struggle? Provide details of the pain or struggle you are experiencing

How long have you been in pain for?

Have you been exploring other options or have you done anything in the past to try and resolve your pain?

What are you hoping to achieve with working with a CHEK Practitioner?

What do you do for work?

What type of employment are you in?

Full-time

Part-time

Casual

Contract

Self-Employed

Other

What support do you have? Family, partner etc

What support do you think you need to resolve your pain?

Are you willing to put in 30 mins 5 days per week to resolve your pain?

Yes

On a scale of 1 to 5 what would you rate your urgency to resolve your pain?

Email
reece@fluidmovementcoaching.com

Phone
0422 362 299

Location

Coaching from Elevation Fitness
Shop 2/151 West Burleigh Road, Burleigh Heads QLD 4220