Take Our Fitness Readiness / Mobility Quiz

Take Our Fitness Readiness / Mobility Quiz

Fill this short form out to assess your Fitness Readiness / Mobility needs:

Who is completing this Quiz? *

I am taking this quiz for myself

I am taking this quiz for someone else

First Name *

Last Name *

Phone *

Email *

Do you feel comfortable starting movement but aren’t sure where to begin? *

Yes

Can you walk for 5 minutes without needing to stop and rest? *

Yes

Sometimes

Do you feel joint pain (knees, hips, back) during everyday tasks? *

Yes

Sometimes

Are you able to get on and off the floor independently? *

Yes

With Support

Do you feel short of breath after climbing a single flight of stairs? *

Yes

Sometimes

When exercising, do you worry about being judged or pushed too hard? *

Yes

Do you feel more confident with guided, low-impact exercises? *

Yes

Can you comfortably reach overhead and behind your back? *

Yes

Sometimes

Are you interested in fitness that focuses on function, not weight loss? *

Yes

Would having a personalized OT-led fitness plan help you stay consistent? *

Yes

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

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DRM Wellness

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