Anthony Fuhrman Rehab/AT Interested in working together? Fill out some info and I will be in touch shortly! Name * First Name Last Name Email * Phone * (###) ### #### AGE * What are your main fitness goals? * Do you have any injuries, surgeries, or medical conditions affecting training? (Briefly explain) * Are you currently experiencing any pain, stiffness, or physical limitations? If yes, describe. * Have you seen a medical or rehab professional for this issue before? If yes, what was the result? * Do you have clearance from a physician to exercise? * YES NO What specific issue are you hoping to address? (e.g., pain, mobility, performance) * When did this issue start, and has it changed over time? * How does it affect your training or daily life? * Are there any movements or activities that make it better or worse? * Do you feel weak, unstable, or limited during specific movements? Please describe. * Do you notice any imbalances (left vs. right, upper vs. lower body)? * Are there any activities you avoid because of pain or discomfort? * What does success look like to you after addressing this issue? * Is there anything else you’d like to share about your situation? Thank you!
