Please fill out the form to complete your Reset registration. 

Name *
Name
Address *
Address
Date of birth *
Date of birth
The following information is designed to help design a Self-Tuning kit that is based on your individual needs and appropriate for your condition. It is not intended as a substitute for a complete physical examination and assessment by a physician. It is recommended that each client undergo a medical examination prior to the initiation of exercises. With this understanding, please answer the following questions accordingly.
In your own words, please share your story and describe what has led to your request. This can include information such as what your symptoms are, what relieves or aggravates them and how long have you had them.
Have you seen a medical doctor or other health care practioner for this condition? *
Please describe if you have followed any of the recommendations and what the results have been.
Has it affected your job, finances, sleep, happiness ...?
Does anyone in your family have similar issues? *
Please describe what you hope to gain, learn, work on...