Posture Survey
RequiredRequired Question(s)
Required 1.
Where did your idea of what makes "Good Posture" come from (choose as many as apply)? 

Parents/Teachers
Medical Professional (Dr, PT, Chiro, Dentist, etc)
Media (what I see and hear on tv, magazines, social media)
Hmmm... not really sure!
Other  
  • Comment:

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Required 2.
Why is "Good Posture" important? 

It looks nice
Decreases back problems
Good for your neck
It makes standing/sitting for prolonged periods easier
I am less likely to have pain
It reflects the normal position of the spine
Other  
Required 3.
Sit in a "Good Posture" - 

1) Where do you feel your feet contacting the floor? 
Balls of Feet
Full Foot
Heels
Other  
Required 4.

Sit in "Good Posture" - 


2) Where to you feel pressure in your pelvis? (Check more than one, if applicable)

On the Pubis region
On front of the sit bones
On back of the sit bones
More on the R side
More on the Left Side
Other  
Required 5.

Sit in "Good Posture" - 


3) Where is your breast bone/sternum?  

In front of my zipper line
Directly above my zipper line
Behind my zipper line
Other  
Required 6.
Sit in a "Good Posture" - 

What muscles are tightening? (select all that apply) 
Abdominals
Low Back
Mid/Upper Back
Hip Flexors (tops of hips)
Front Neck
Shoulders
NONE!
Other  
Required 7.

As you are filling this out, is your mouth Open or Closed? 

Open
Closed
Required 8.

As you are filling this out, where is your Tongue resting? 

Behind my Top Teeth
Down Behind/on my Bottom Teeth
Up High in the Highest point of the roof
Other  
Required 9.

Take a deep breath in.  Where does the air fill most?  (Can choose 2, if applicable) 

Belly
Chest
Sides
Back
Other  
Required 10.

Stand in "Good Posture" 


1) Where do you feel your weight at your feet? (Select all applicable) 

Balls of Feet
Insides of Feet
Outsides of Feet
Heels
More on Right Foot
More on Left Foot
Other  
Required 11.

Stand in "Good Posture". 


2) Where are your hips (front pelvis bones)?  

Over balls of my feet
Over my Heels
Over the Middle of my feet
Other  
Required 12.
Stand in "Good Posture" - 

3) Where are your front ribs? 
In front of my hips
Directly above my hip bones
Behind my Hip Bones
Other  
Required 13.
Stand in "Good Posture" - 

4) What muscles do you feel tightening? 
Calves
Abdominals
Low Back Muscles
Glutes/upper hamstrings
Front of the Neck
Shoulders
Upper Back
Other  
Required 14.

Which pictures show what you feel is a "good posture"?  (Choose as many as you want). 

Posture 1
Posture 2
Posture 3
Posture 4
Posture 5
Posture 6
Posture 7
Required 15.

Perform this exercise, following all details.  How does it feel to breathe as instructed? (Take 5 breaths)

Seated Breathing Exercise 

Very Difficult Challenging A Little Less Air than I'd like Comfortable        
       
Required 16.
Perform this exercise, following all details.  How does it feel to breathe as instructed? (Take 3 breaths)
All Fours Exercise
Very Difficult Challenging A Little Less Air than I'd Like Comfortable        
       
Required 17.
Perform this exercise, following all details.  How does it feel to breathe as instructed?  (Take 5 breaths) 

Very Difficult Challenging A Little Less Air than I'd Like Comfortable