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PELVIC RX ASSESSMENT 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

1:Have you had any hip surgery?

A

yes

B

no

Question 2 of 10

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

(Select all that apply)
A

A:shoulders

B

B:Neck

C

C:Forearm and or wrist (tennis elbow)

D

D:Knee

E

E:Upper back

F

F:Middle back

G

G:Lower back

H

H:Ankles

I

I:Legs

J

J:Hands

K

K:Feet

L

I have no pain

Question 3 of 10

3:Where on your body have you had a  major injury or surgery? (Select Multiple)

(Select all that apply)
A

A:neck and spine (injury and or surgery). Answer yes if you had one or the other.

B

B:I have had surgery in the body parts that involve my upper body. (Arms/shoulders/wrists/finger/chest area)

C

C:I have had surgery in the body parts that involve my lower body (legs/knees/feet/ankles/toes)

D

D:I have had surgery on my stomach or have had a hernia surgery

E

E:I have had surgery around my pelvis (hip) and or inside pelvis area like a laparoscopy

F

F:No surgery, just a major injury in my upper body area

G

G:No surgery, just a major injury in my lower body area

H

H:Surgery on your eyes

I

I:Brain surgery

J

J:No surgery or major injury

K

K:No Surgery, Just an injury

Question 4 of 10

4:Do you experience back pain?

A

yes

B

No

Question 5 of 10

5:Have you ever played a major sport(rugby/hockey/figure skating/gymnastics/soccer/tennis/football/basket ball/running/powerlifting)

A

yes

B

No

Question 6 of 10

6:Have you had c-section

A

yes

B

no

Question 7 of 10

7:Have you ever fallen on your tail bone hard.

A

yes

B

No

Question 8 of 10

8: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

9:Do you workout?

A

yes

B

no

Question 10 of 10

10:What age range do you fall under?

A

A:14-16

B

B:18-21

C

C:22-30

D

D:30-35

E

E:35-42

F

F:42-47

G

G:48-52

H

H:53-57

I

I:58-65

J

J:Above 68 Years of age

Confirm and Submit