Chart Your Progress

After using one of our products, please fill out the following form so we can chart the progress of your recovery.

We recommend charting your progress once per month. It only takes a few minutes.

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1. Which product did you purchase? Select... Frolov Training Device Flash Vision MBT Shoes Shoulder Training Video Walking Video - The Fall (Lesson one) 2. What was the approximate date you began using the product? Month January February March April May June July August September October November December   Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31    20 3. How often do you train? Select... Less than once a week 1-2 times a week 3-5 times a week 6-7 times a week More than 7 times a week 4. What specific problems were you trying to solve? 5. What kind of results have you experienced? 6. Please ask us any questions you have. They will be answered via email and may appear on the FAQ page at HealthByYourself.net. 7. If you would like, please give a testimonial here. It may or may not appear at HealthByYourself.net. 8. Would you like to have a phone consultation? If you click yes, details will be emailed to the address given above. Yes No