Step 1: Let's Find Your Path

Which best describes what you'd like help with? *

I have Joint Pain (knees, hips, back, shoulders, etc.)

I have other health conditions (MS, RA, IBD, Long COVID, etc.)

Step 2: Understanding Your Joint Pain

Which area bothers you the most? *

Knee

Hip

Shoulder

Back

Other

If other what is the area?

Step 3: Pain Impact

How does this affect your daily life? *

I can't exercise like I want to

It's hard to sleep

Walking is difficult

I've had to give up activities I love

Other

If other, what is going on?

Step 4: Treatment History

Have you tried any of these treatments? *

Physical Therapy

Cortisone Shots

Surgery

Other Regenerative Treatments

None of these

If other treatments, what have you tried?

Step 2: Your Health Journey

Which condition are you seeking help for? *

Autoimmune Condition

Anti-aging

COPD

Crohn’s, Ulcerative Colitis, IBD

Hair Restoration

Heart Failure

Long COVID

Rheumatoid Arthritis

Traumatic Brain Injury

Other

If other condition, please tell us about it

Step 3: Quality of Life Impact

What's the biggest way this affects your life? *

Fatigue

Pain

Limited Mobility

Brain Fog

Other

If other impact, please tell us about it

Step 4: Your Health Goals

What matters most to you? Pick all that apply *

Pain Relief

Better Mobility

Return to Sports/Exercise

Avoid Surgery

Feel Younger

More Energy

Other

If other, please tell us more

Final Step: Treatment Timeline

When would you like to start feeling better? *

As soon as possible

Within 3 months

Just exploring options

Not sure yet

What is the best way to contact you?

Full Name *

Phone *

Email *

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