call now
Member Login
Book a Service
Menu
Home
Services
Pain Relief
Athletic Recovery
Medical Weight Loss
Aesthetic Treatments
Nutritional IV
Happy Hour Party
Modalities
TECAR Therapy
Infrared Light Therapy
Photobiomodulation
HawkGrips IASTM
Technology Massage
Cervical Traction
Lumbar Traction
Compression Therapy
Shockwave
Chi-Machine
Cupping Therapy
TENS E-Stim
About
Success Stories
Our Staff
FAQs
Articles
Become an Ambassador
Pricing
Regular Pricing
Packages
Memberships
Reserve Retainer
Contact
close
Book Consultation
No upfront $ commitment
Interactive Form
First Name
Last Name
Mobile Number
Email Address
How Should We Contact You?
How Should We Contact You?
Call
Text
Email
What Are You Interested In?
What Are You Interested In?
Sports Recovery
Pain Relief
Athletic Optimization
Technology Facials
Body Sculpting
Nutritional IV Drips
Breathwork (Stress Release)
How did you hear about us?
How did you hear about us?
Trace Affiliate
Google
A Friend
Enter Code
Tell Us Who to Thank
Sporting Experience
Let’s Talk Recovery but first, tell us about your sporting experience
What Sport Do You Participate In?
What Sport Do You Participate In?
Athletic Activities
Baseball
Basketball
Football
Track
Soccer
Swimming
Biking
Running
Powerlifting
Other
Enter your sport
What Level Do You Compete At?
What Level Do You Compete At?
Beginner
Weekend Warrior
Recreational
Local Competition
Pre-Professional
Professional
Olympic
Where do you train?
Who is your coach?
Phone Number
Where are you experiencing pain?
Where are you experiencing pain?
Low Back Pain
Mid Back Pain
Upper Back Pain
Joint Pain
Ankle Pain
Hip Pain
General Tightness
Nerve Pain
Other/Everywhere!!
Please Describe?
Rate your level of pain (10 being extreme, 0 being non-existent)
Rate your level of pain (10 being extreme, 0 being non-existent)
1
2
3
4
5
6
7
8
9
10
Have you tried other interventions to help your recovery process?
Have you tried other interventions to help your recovery process?
Physical Therapy
Chiropractic
Injection Therapy (PRP, Prolo, Stem Cell, etc.)
Surgery
Other
I haven't tried other interventions
When was your surgery?
What else have you tried?
Tell us what you are looking to achieve
What is bothering you?
What is bothering you?
Crow's Feet
Wrinkles
Acne Scarring
Hyperpigmentation
Other
Please describe?
What have you tried so far?
What have you tried so far?
Face Creams
Microneedling
Cold Laser
Microdermabrasion
Chemical Peels
Other
I haven't tried other interventions
Please describe?
Tell us about your goals
What are you looking for help with?
What are you looking for help with?
Reducing stubborn fat
Get rid of cellulite
Tightening before competition
Other
Please describe?
What body parts are you looking to sculpt?
What body parts are you looking to sculpt?
Buttocks
Legs
Arms
Back
Stomach
Please describe?
We want to know your lifestyle a little further
How often do you exercise?
How often do you exercise?
None, not my thing
Once per week
2-5 per week
Other
Please describe?
How long have you had your exercise routine?
How long have you had your exercise routine?
Under a week
1 - 2 Months
3 - 6 Months
Over a year
How often do you eat fast food?
How often do you eat fast food?
Daily
At least 3 times a week
Once a month
Never
Okay, Now tell us why you are here
Where did you get hurt?
Where did you get hurt?
Neck
Back
Leg
Ankle
Wrist
Elbow
Knee
Hip
Shoulder
Other
Tell us what happened
How long have you been out of sports or not performing at your highest level because of the injury?
How long have you been out of sports or not performing at your highest level because of the injury?
1 Day (Just Happened)
3 - 7 Days
8 - 15 Days
16 - 30 Days
1 Month +
How long have you been injured?
Have you tried other interventions to help your recovery process?
Have you tried other interventions to help your recovery process?
Physical Therapy
Chiropractic
Injection Therapy (PRP, Prolo, Stem Cell, etc.)
Surgery
Other
I haven't tried other interventions
When was your surgery?
What else have you tried?
Tell us about your training and goals
How many hours per week do you train?
How many hours per week do you train?
0 - 5 Hours
6 - 10 Hours
11 - 15 Hours
15 - 20 Hours
20+ Hours
Please describe your primary goal in detail
Please describe in your mind, what is prohibiting you currently from reaching your target?
Number
Thanks for filling the details. Submit the form now.
Submit Form
(281) 571-3209
staff@tracethebody.com
829 Frostwood Drive, Houston, TX, USA
Member Login
Book a Service
modalities
Infrared Light Therapy
Winback Tecar Therapy
Technology Massage
Photobiomodulation
Shockwave
HawkGripsIASTM
Chi-Machine
Compression Therapy
TENS E-Stim
Cupping Therapy
services
Pain Relief
Medical Weight Loss
Aesthetics
Athletic Recovery
Approach
to Pain Relief
to Medical Weight Loss
to Aesthetics
to Athetic Recovery
Pricing
Regular Pricing
Packages
Memberships
Reserve Retainer
About
Success Stories
Our Staff
FAQs
Articles
Become an Ambassador
Contact
Copyright 2024 © Trace Body Rejuvenation | All Rights Reserved |
Privacy & cookie Policy
close
linkedin-square
angle-down
ellipsis-v
youtube-play
instagram
facebook-official
Home
Services
▼
Pain Relief
Athletic Recovery
Medical Weight Loss
Aesthetic Treatments
Nutritional IV
Happy Hour Party
Modalities
▼
TECAR Therapy
Infrared Light Therapy
Photobiomodulation
HawkGrips IASTM
Technology Massage
Cervical Traction
Lumbar Traction
Compression Therapy
Shockwave
Chi-Machine
Cupping Therapy
TENS E-Stim
About
▼
Success Stories
Our Staff
FAQs
Articles
Become an Ambassador
Pricing
▼
Regular Pricing
Packages
Memberships
Reserve Retainer
Contact