WALL of PHLEXcellence Sign Up / Testimonial Submission

Name *
Anything active you love to do, list them all!
Can be someone famous, friend, family or submit a quote that you live by.
No answer is too big or too small! From running your first race, to losing weight, to not having pain during activity, to winning a game...we want to share your story!
Did our Therapists help you achieve a milestone? Are you now pain free? What would you tell a friend about your experience?
Overall Rating of Experience: *
We want to make sure your entire experience is top notch!
RELEASE STATEMENT: I authorize PHLEX NYC to use the above testimonial on their web site or in any other form of advertising that they see fit. I authorize the use of my full name in connection with the use of this testimonial in any manner PHLEX NYC determines is appropriate. This is including but not limited to their web site, advertising, mailers, etc. *
Please check YES and send your photo to VIP@phlexnyc.com.