To confirm, you are filling this out because you want to move confidently and pain-free, reclaim an active life and get back to sports and activities you love without the fear of exacerbating back pain, and make this the LAST SYSTEM you'll ever need to manage and resolve back issues?

Yes - I am serious, and want to learn more about reclaiming a pain-free, active life, and moving confidently without further setbacks

No - I'm content with my current situation and will exit this page

Which of the below best describes your goal with the Body Rebuild System?

I want to move confidently and pain-free, reclaim the active life I once had, and get back to sports and activities without the fear of back pain.

I want to understand why my past attempts at managing my back pain have failed and need a holistic approach.

I want to build foundational strength, stability, and mobility so I can feel more confident in my body and its movements.

I want to ditch quick-fix solutions and learn sustainable techniques to manage and resolve back pain.

I'm not exactly sure what my specific goals are, but I do know my approach to back pain management isn't giving me the results I desire.

I have no clue, but I know I need a solution for my back pain, and I'm committed to personal growth and wellness.

What makes you interested in the Body Rebuild System specifically? Why is it compelling compared to other back pain resolution programs out there?

Because I've been following your journey for a while now, seen the remarkable transformations and success stories, and I believe The Body Rebuild System could be the answer to my persistent back pain.

Because I'm searching for a holistic approach that addresses the root cause of my back pain rather than just the symptoms. I don't just want exercises; I want understanding and a comprehensive system.

The expertise, tailored training, and empathetic guidance of Darcy Coss make me believe that this will be the last program I'll ever need to reclaim my active life.

I genuinely resonate with the ethos, community spirit, and methodology of The Body Rebuild System, and I feel a strong pull to join the "Rebuilt Crew".

I'm not exactly sure what my specific goals are, but I do know my approach to back pain management isn't giving me the results I desire.

All of the above!

I'm not very familiar with The Body Rebuild System, its results, or its components, but I am eager to find out more!

What is your current occupation, and how long have you been doing it?

Would you say this is a Desire or a Priority?

Desire

Priority

If you were to find a way to move confidently without back pain, enhance your movement quality, and learn how to maintain an active, pain-free lifestyle, making the Body Rebuild System the last program you’ll ever need – would you be willing (and able) to invest in getting the help necessary to achieve this?

Yes, I have the cash flow to invest in my health and well-being.

Yes, I may or may not have the cash flow, but I’m resourceful and/or have access to credit to invest in a life without back pain.

No, my cash flow is month-to-month and I have no access to credit.

Do you have a significant other? If so, are they supportive of you potentially investing in your health, and personal growth?

Yes, I have a significant other and they are supportive!

Yes, I have a significant other but this is my decision to make.

Yes, I have a significant other but they may need to be on the call with me to make a joint decision.

No, I’m single and make my own rules, lol

What's your social media handle?

*If you don't have one please enter 'n/a'.

Last Question! When are you hoping to start your journey towards a pain-free, active lifestyle?

Right now!

Next week

In a month

Not sure

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

Congratulations! You're one step closer to reclaiming an active, pain-free life and moving with confidence in every step you take!

We Will Review Your Application And We Will Be In Touch For Next Steps.