NEUX INQUIRY

First Name

Last Name

Phone *

Email *

Instagram Handle

What would you like the focus of the majority of the session to be based around? *

Neurological Retraining (Best for pain management and injuries)

Training/Performance Based (Best for In-Gym hypertrophy focused sessions)

Posing Based (Best for pulling out lines in the physique/ tissue lengthening)

What would you like to work on specifically in our session?

ie. Better connection with lats while posing, pain in shoulder area, better connection in glutes while training, ect.

Anything else you would like to add?

ie. injuries, imbalances ect.

Any questions you may have regarding the technology or our process?

Location

Destination Dallas (Allen, TX)

Fox Fitness (Saginaw/Fort Worth, Texas)

Desired Date For Session

Available Time For Session

AM (9AM-12PM)

Afternoon (12PM-3PM)

PM (4PM-7PM)

How did you hear about me? Did anyone specific refer you?

Please visit our website for more information on the technology and see some client testimonials or include in this form if you have any further questions about NeuX sessions and I will reach out to answer any before scheduling with you!

https://neulevelperformance.com/neux/

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