Apply for the 40 & F.I.T. Blueprint
— Integrity Trial

 
 

You’re just a few steps away from joining a program built to finally help adults 40+ eliminate low-back pain, rebuild strength, and get their body responding again — without risking a dime upfront.

Please complete this short application so I can confirm the program is a safe and effective fit for your goals, your health history, and your current condition.

This helps protect you, your results, and the integrity of the trial.

Once submitted, I’ll personally review your application and email you within 24–48 hours with next steps.

 

Integrity Trial Application Form

1 - Basic Information

2 - Motivation & Goals

3 - Pain & Readiness

Are you currently experiencing pain/stiffness/mobility issues? *
Have you ever been diagnosed with a chronic pain condition? (ex: arthritis, disc degeneration, fibromyalgia, etc.) *
If completed PT, were you fully discharged and cleared for exercise?
Has a medical professional approved you for physical exercise? *
Do you understand that this program focuses on exercise, mobility and strength - not medical treatment or diagnosis? *

4 - Lifestyle & Commitment

Do you currently have access to basic equipment (roller, bands, ball, mat, etc.)?
Do you have enough space at home to train comfortably? *
Are you open to weekly check-ins and honest feedback during the program? *

5 - Mindset & Integrity Agreement

I understand that this program requires consistent effort (2-3 hrs a week or 20-30 min/day) to experience results. *
I understand that my Integrity Trial payment will only be due if I achieve results and confirm satisfaction at Week 10. *
I am applying with genuine intent to participate fully and give honest feedback throughout the process. *