Full Name
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Email
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Phone
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How did you find this quiz?
NewPath Wellness Wesite
Social Media
Event/Other
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What is your dream outcome for your body?
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I want to age well and stay mobile
I want to get back to an active lifestyle
I want to rebuild my body and function again
How many days a week do you experience physical discomfort or pain?
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0–1 days
2–4 days
5 or more
How would you describe your current physical activity level?
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High – I move/train daily
Moderate – a few workouts/week
Light – walking/stretching only
Sedentary – mostly inactive
How often do you feel like your body is holding you back from things you enjoy?
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Rarely
Sometimes
Often
Which best describes your posture and movement during a typical day?
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I’m mostly sitting and stiff
On my feet sometimes, but not moving well
I stretch or stay active with awareness
What’s your relationship with movement or exercise right now?
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I like to move — it feels good
I want to move more, but feel restricted
I avoid it due to pain
How confident are you in your body’s ability to age well?
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Very – I just want to stay on track
Somewhat – unsure if I’m doing it right
Not at all – it feels like I’m breaking down
What do you feel your body needs most right now?
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Maintenance and alignment
Guidance and clarity
Support and recovery
How satisfied were you with past treatments (e.g., massage, chiro, PT)?
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Pretty satisfied
Mixed results
Not satisfied — no long-term relief
What’s been missing from other approaches?
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Someone to keep me proactive and accountable
A personalized, consistent plan
A practitioner who listens and treats the root cause
How ready are you to commit time to improving how your body feels?
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Very ready — I prioritize what matters
Ready if it’s efficient and tailored
Hesitant but open — I need something that works
What best describes your current willingness to invest in recovery?
I plan for wellness — it’s a top priority
I’ll invest if it’s worth it
I’ve wasted money before — I need results