— Let's talk Contact Get in touch Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo. Address PO Box 234 Campbell, CA 80555-0279 Phone 929-242-6868 Email mail@info.com Message me Please enable JavaScript in your browser to complete this form.Name *FirstLastAge Group *--- Select Choice ---60 and overunder 60Email *Baseline - pain-level (before these exercises) *--- Select Choice ---0 - no pain1 - 3 mild4 - 6 moderate7 - 10 severeBaseline - pain location (before these exercises *---Select Choice ---a) near the centre of lower back (centralise)b) near the centre radiating to buttock (left or right)c) near the centre radiating to the knee (left or right)d) near the centre radiating to the foot (left or right)e) other area of the bodyf) no more painDay 1 - pain level (at the end of Day 1) *--- Select Choice ---0 - pain free1 - 3 mild4 - 6 moderate7 - 10 severeDay 2 - pain level *--- Select Choice ---0 - pain free1 - 3 mild4 - 6 moderate7 - 10 severeDay 3 - pain level *--- Select Choice ---0 - pain free1 - 3 mild4 - 6 moderate7 - 10 severeDay 1 - pain location (at the end of Day 1) *---Select Choice ---a) near the centre of lower back (centralise)b) near the centre radiating to buttock (left or right)c) near the centre radiating to the knee (left or right)d) near the centre radiating to the foot (left or right)e) other area of the bodyf) no more painDay 2 - pain location *---Select Choice ---a) near the centre of lower back (centralise)b) near the centre radiating to buttock (left or right)c) near the centre radiating to the knee (left or right)d) near the centre radiating to the foot (left or right)e) other area of the bodyf) no more painDay 3 - pain location *---Select Choice ---a) near the centre of lower back (centralise)b) near the centre radiating to buttock (left or right)c) near the centre radiating to the knee (left or right)d) near the centre radiating to the foot (left or right)e) other area of the bodyf) no more painDay 1 - How many session(s) performed? *---Select Choice ---01 session2 sessions3 sessions4 sessions5 sessions6 sessions7 sessions8 sessionsA single session consists of both Ex A (Cross Leg) and Ex B (Semi Push-Up). Severe pain - Performing two sessions each in the: morning, noon, afternoon and bedtime. Gradually reduce number of sessions when pain subsided.Day 2 - How many session(s) performed? *---Select Choice ---01 session2 sessions3 sessions4 sessions5 sessions6 sessions7 sessions8 sessionsA single session consists of both Ex A (Cross Leg) and Ex B (Semi Push-Up). Severe pain - Performing two sessions each in the: morning, noon, afternoon and bedtime. Gradually reduce number of sessions when pain subsided.Day 3 - How many session(s) performed? *---Select Choice ---01 session2 sessions3 sessions4 sessions5 sessions6 sessions7 sessions8 sessionsA single session consists of both Ex A (Cross Leg) and Ex B (Semi Push-Up). Severe pain - Performing two sessions each in the: morning, noon, afternoon and bedtime. Gradually reduce number of sessions when pain subsided.Your message? *Description of your progress in the last three days. Send