Home>Register for Therapy Register Now Name Mobile Number Email Address Gender MaleFemaleOthers Age Please fill the below fields if you are suffering, please classify as mild/ troublesome and mention duration Headache Neck Pain Upper back ache Lower back ache Pain at any other site in the body – please specify site Breathlessness Abdominal pain or discomfort Heart burn Disturbed sleep Feelings of anxiety/ stress/ tension Feelings of sadness/ depression Constant fatigue Diabetes High blood pressure Thyroid disease Heart disease Overweight Any other Please send a list of your medicines with dose Any other Breathing out duration Breath retention capacity Flexibility score Message
