Back Strong — Mike Foster Fitness

💪

BACK STRONG

Mike Foster Fitness · Bromsgrove

Fix your back.
For good.

Real rehab, real coaching, real results — from an actual specialist, not a generic app.

Week 1 access · No card needed

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⭐ GOLD

Full 16-week programme

Check-ins · Education · Nutrition

💎 PLATINUM

Everything in Gold

1-2-1 Zoom · Posture analysis

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Week 1 access · No card needed

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Welcome to Back Strong

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Step 1 of 4

About You

Let's get to know you so Mike can personalise your programme.

Full Name

Phone Number

Date of Birth

Sex

Male Female Prefer not to say

Height (cm)

Weight (kg)

Occupation type

Desk / Sedentary Lightly active Manual / Physical

How long have you had back pain?

Less than 6 weeks 6 weeks – 3 months 3 – 12 months Over a year Years / ongoing

Pain score right now (0–10)

5

Moderate

Where does it hurt? (select all that apply)

Lower back Left leg Right leg Both legs Buttocks Groin Upper back

What makes it worse? (select all that apply)

Sitting Standing Walking Bending Lifting Morning Night No clear pattern

Previous treatment? (select all that apply)

None Physiotherapy Chiropractic Injections Surgery Medication Osteopathy

Any previous diagnosis? (optional)

⚠️ Red Flags

Have you experienced any of the following?

Bladder or bowel changes Numbness or tingling in groin/saddle area Progressive leg weakness Night pain that wakes you Unexplained weight loss None of the above

Exercise history

None / very little Occasional (1-2×/wk) Regular (3+×/wk) Previously active, stopped

Current activity level

Mostly sedentary Light walking daily Some gym / sport Regularly active

Average sleep (hours per night)

7h

Sleep quality

Poor OK Good Great

Stress level (1–10)

5

Any other health conditions Mike should know about? (optional)

Current medications? (optional)

Primary goal

Reduce pain Move freely again Return to sport / gym Lose weight Build strength Avoid surgery

What does success look like in 16 weeks?

How did you hear about Back Strong?

Mike directly Social media GP / Physio referral Word of mouth Google / Online search Other

Anything else Mike should know? (optional)