First Name
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Last Name
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Phone
Email
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When you squat or sit down, do you feel:
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No pain or discomfort
Mild knee discomfort
Sharp knee pain
Lower back pain
I avoid squatting altogether
When you bend forward or pick something up off the floor, do you feel:
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No pain or discomfort
Mild lower back tightness
Sharp lower back pain
Hip tightness or discomfort
I avoid bending forward altogether
When you push something overhead or do a push-up, do you feel:
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No pain or discomfort
Mild shoulder discomfort
Sharp shoulder pain
Wrist or elbow discomfort
I avoid pushing movements altogether
When you pull or reach overhead, do you feel:
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No pain or discomfort
Mild shoulder or upper back tightness
Sharp shoulder pain
Elbow discomfort
I avoid pulling movements altogether
Right now, how would you describe your training?
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I train consistently 2-3 times per week
I train but not consistently
I used to train but stopped due to pain or injury
I have not trained in over a year
I have never had a structured training program
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