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PELVIC FIT RX ASSESSMENT BODY QUIZ

The results that come out of your body transformation is dependant on how your pelvis is? Find out what might be holding your back on your muscle activation and creating pain and or discomfort in your body.  You will be asked to do a short video of your squats (front/side/back) 6 reps on each side please. 

Click the button below to start your PELVIS ASSESSMENT questionnaire.  

Start

Question 1 of 10

Are you more female energy or male energy?

A

female

B

male

Question 2 of 10

What areas on your body do you experience pain the most (Select multiple)

(Select all that apply)
A

shoulders

B

Neck

C

Forearm and or wrist (tennis elbow)

D

Knee

E

Upper back

F

Middle back

G

Lower back

H

Ankles

I

shins

J

Legs

K

Hands

L

Feet

M

I have no pain

Question 3 of 10

Have you had any hip surgery?

A

yes

B

no

Question 4 of 10

Have you had c-section?

A

yes

B

no

Question 5 of 10

Do you experience back pain?

A

yes

B

No

Question 6 of 10

Where on your body have you had any  MAJOR injury or surgery? (Select Multiple)

(Select all that apply)
A

BACK

B

UPPER BODY (Arms/shoulders/wrists/finger/chest area)

C

LOWER BODY (quadraceps /hamstring/knees/feet/ankles/toes)

D

STOMACH AREA (hernia/ribs/laparoscopic surgery)

E

PELVIS (c-section/ablation/prolapsed uterus/ prolapsed bladder)

F

Surgery on your eyes

G

Brain surgery

Question 7 of 10

Have you ever fallen on your tail bone hard.

A

yes

B

No

Question 8 of 10

Do you have any in interest in doing a SQUAT consultation assessment? Finding out what exercise will work best for your pelvis?

A

YES

B

NO

Question 9 of 10

Thank you for taking the time to fill these out to help better serve you. You will receive a email series based on your individual answers. 

A

Thank you

B

Thank you I look forward to the video series

Question 10 of 10

Where is your place of residence?

(Select all that apply)
A

Alberta, CANADA

B

ONTARIO, CANADA

C

British Columbia, CANADA

D

UNITED STATES

E

I LIVE IN Milton, Ontario, Canada

F

I LIVE IN Oakville, Ontario, Canada

G

I LIVE IN Mississauga, Ontario, Canada

H

OTHER

Confirm and Submit