check

KC Performance Private Client Application

KC Performance provides personalized performance medicine for athletes, former athletes, executives, first responders, and high-performing adults.

This brief application helps us understand your goals, what you’ve already tried, and what level of support you’re looking for. Your responses will help our team determine whether KC Performance is the right fit and the most appropriate next step.

Please allow 2–3 minutes to complete the application.

Click the button below to start.

Start

Question 1 of 14

First and Last Name

Question 2 of 14

Cell phone to best contact you via call and text

Question 3 of 14

Best email address to contact and send important to

Question 4 of 14

What are you looking to improve?

(Select all that apply)
A

Energy

B

Strength or muscle

C

Body composition / fat loss

D

Sleep

E

Hormonal symptoms: Women or Men hormone replacement

F

Injury Recovery

G

Athletic Performance and Recovery

H

Performance Longevity

Question 5 of 14

Of the areas you selected, what is affecting you the most right now?

Question 6 of 14

What would you want to be meaningfully different over the next 3–6 months?

Question 7 of 14

Which best describes you?

(Select all that apply)
A

Current competitive or recreational athlete

B

Former athlete who still trains regularly

C

Preparing for a specific event or competition

D

CEO, executive, or business owner

E

First responder / tactical professional

F

Active adult focused on health and longevity

G

Other

Question 8 of 14

What does your current training or physical activity look like in a typical week?

Question 9 of 14

What have you already tried, and what are you frustrated still hasn't changed?

Examples may include training or nutrition changes, supplements, hormone therapy, peptide protocols, physical therapy, primary care, recovery treatments, or other wellness services. 

Question 10 of 14

Why are you looking to address this now rather than six months from now?

Question 11 of 14

How ready are you to make changes if KC Performance determines we are a good fit?

A

I'm ready to start now

B

I'm ready to start within the next 30 days

C

I'm exploring my options

D

I'm mostly looking for information right now

Question 12 of 14

KC Performance is a private-pay performance medicine practice. Which best describes your comfort level with investing in your health and performance?

A

I'm comfortable investing $1,000–$3,000 for the right program

B

I'm comfortable investing $3,000–$6,000 for the right program

C

I'm comfortable investing $6,000+ for a comprehensive concierge experience

D

I would need a payment plan

E

I need to understand the recommendations and costs before deciding

F

I'm not currently prepared to make a private-pay investment

Question 13 of 14

When would you ideally like to get started?

A

As soon as possible

B

Within 2–4 weeks

C

Within 1–3 months

D

I'm not sure yet

Question 14 of 14

How did you hear about KC Performance?

A

Current/past patient

B

Friend or family referral

C

Healthcare provider

D

Instagram/social media

E

Event or competition

F

Employer/organization

G

Google/search/AI platform

Confirm and Submit