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Being free of pain and limitation is part of your biological design - when your body is in a balanced state. But when your body is out of balance, these things continue to show up as constant physical and emotional reminders. This quiz can help us understand where you're currently at and if Symmetry Of Motion can be a solution for you. It should only take a few minutes.

Do you have any diagnosed injuries or medical conditions related to what you are looking for help with?*

YesNo
If Yes, what is it?

Do you currently suffer from pain anywhere in your body? (constant or not)*

YesNo
Where?

Have you seen a chiropractor, massage therapist, physical therapist, or other practitioner for the above conditions or with pain?*

YesNo

Do you still suffer from the same problem(s) or pain despite all other solutions you have tried?*

YesNo

Which of the following has this pain and/or problem(s) interfered with? (choose all that apply)*

Fitness or other physical activitiesWork / CareerTravel / TripsSocial interactions or eventsOther

How long has this pain or problem(s) affected you?*

0-1 Month1-6 Months6-12 Months1 - 5 YearsMore than 5 Years

Do you ever experience pain or discomfort in the following? (check all that apply)*

Laying on your stomachSitting for short/long periods of timeWalking after a period of timeJogging or Running after a period of timeDuring or after a workoutWhile sleeping at nightMorning activities like bending over to brush your teeth

Do you have parts of your body that feel "tighter" or "weaker" than other parts of your body?*

YesNo
If so, what are they?

Do either of your feet point in or out when you stand relaxed?*

OutInBoth are straight

Try this: Stand up with your shoes off (if you can). Do you feel like your weight is heavier towards one leg/foot than the other leg/foot?*

Left LegRight LegFeels CenteredI'm not sure

Is the pressure of either foot against the ground not centered? Example: More towards the heel, toes, inside or outside edge.*

Yes - one or both feet are not centeredNo - both are centeredI'm not sure

Try this: Stand with one leg in the air (as below). Do you feel a difference in how your body balances or shifts around on one leg compared to standing on the other leg?*

Yes, one side balances different than the otherNo, both sides feel like they do the same thingI'm not sure

Try this: Lay in this position (below). Think about your hips, back, and shoulders against the floor. Does any part of your body feel lighter or heavier (or just different) against the floor?*

Yes, I feel parts that are lighter or heavierNo, everything feels completely flat and evenI'm not sureI'm unable to try this right now (no prob..doesn't ruin the assessment)

Is there anything else you want to mention that we haven't brought up so far?

What is the reason you are submitting this form?*

0/75

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