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Rehab & Flexibility Plan

LKR 5,000 / one-time · Custom plan delivered within 48-72 hours

Hey there, thank you for choosing my rehab & flexibility plan. Please fill out this form honestly so I can create a plan suited to your condition, mobility, and goals.

Please read before filling in: Submitting this form does not confirm your place. After reviewing your answers, I'll contact you with payment details. Your program will only be created after payment is completed. Personalized plans are non-refundable once prepared.

Section 1

Flexibility & Rehab Readiness (PAR-Q)

If you answer Yes to any question below, consult your doctor or physiotherapist before starting this plan.

Do you have any medical condition that limits your movement or flexibility? (e.g. arthritis, back pain, joint replacements, chronic pain) *

Have you had any recent injuries, surgeries, or ongoing pain in the past 6 months? *

Are you currently under the care of a physiotherapist, doctor, or pain specialist? *

Do you feel sharp pain, dizziness, or loss of balance when stretching or moving in certain positions? *

Section 2

Personal Information

Section 3

Condition & Injury History

Have you had any relevant surgeries or injuries? *

Are you currently seeing a physiotherapist or doctor for this? *

Section 4

Movement & Goals

Section 5

Acknowledgement

After submitting, I'll contact you on WhatsApp within 24 hours with payment details. Plan delivered within 48-72 hours of payment.

Something went wrong. Please try again or contact via WhatsApp.

Application Received!

Thank you for applying for the Rehab & Flexibility Plan. I'll review your details and reach out on WhatsApp within 24 hours with payment instructions.

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