Chart Your Progress

After using the Frolov Training Device, 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. What is the approximate date you began using the FRTD? 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 2. What was your approximate initial exhale time? Select... 1-5 Seconds 6-10 Seconds 11-15 Seconds 16-20 Seconds 20+ Seconds 3. What is your approximate current exhale time? Select... 1-5 Seconds 6-10 Seconds 11-15 Seconds 16-20 Seconds 21-25 Seconds 26-30 Seconds 31-35 Seconds 36-40 Seconds 40+ Seconds 4. How many minutes do you train? Select... 1-5 Minutes 6-10 Minutes 11-15 Minutes 16-20 Minutes 21-25 Minutes 26-30 Minutes 31-35 Minutes 36-40 Minutes 40+ Minutes 5. How often do you train? Select... 1-2 times a week 3-5 times a week 6-7 times a week 6. What problems did you have before training with the FRTD? Please check all that apply.  Asthma Improvement:      Emphysema Improvement:      Sleep Apnea Improvement:      Snoring Improvement:      Restless Sleep Improvement:      Sinusitis (Stuffy Nose) Improvement:      Bronchitis Improvement:      Shortness of Breath Improvement:      Angina (chest/shoulder/jaw pains) Improvement:      Arial Fibrillation Improvement:      Arrhythmias of Heart Improvement:      Tingling or Numbness in Arms/Legs Improvement:      High Blood Pressure Improvement:      Sugar Cravings Improvement:      Prostate Problems Improvement:      Constipation Improvement:      Irritable Bowels Improvement:      Hyperglycemia Improvement:      Diabetes Improvement:      Hypothyroid Improvement:      Vision Problems Improvement:      Memory Problems Improvement:      Parkinson's symptoms Improvement:      Stroke symptoms Improvement:      Overweight Improvement:      Neck Pain Improvement:      Back Pain Improvement:      Other Improvement:     8. Please ask any questions you have regarding Frolov's device. They will be answered via email and may appear on the FAQ page at HealthByYourself.net. 9. If you would like, please give a testimonial here. It may or may not appear at HealthByYourself.net. Testimonial: 10. Would you like to have a phone consultation? If you click yes, details will be emailed to the address given above. Yes No