Multiple Choice Posture Archetype Assessment
Devine Chiropractic
Name
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First Name
Last Name
1. Which of the following best describes your occupational duties?
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You are seated for the majority of the day (Ergo)
You are standing for the majority of the day (Structural)
You frequently lift heavy objects (Dynamic)
You are looking at a computer screen all day (Neuro)
2. Which of the following do you experience most often?
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Neck pain (Ergo)
Headaches (Neuro)
Back pain (Structural)
Knee, ankle, or feet pain (Dynamic)
3. Do you frequently use a computer at work?
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Yes, and I have a standing workspace (Dynamic)
Yes, and my wrists and/or shoulders hurt afterwards (Ergo)
Yes, and my back hurts afterwards (Structural)
Yes, and I feel eyestrain and/or headaches afterwards (Neuro)
4. Which would you say best describes you?
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It is difficult to sit for more than 30 minutes in proper posture (Ergo)
It is difficult to stand for more than 30 minutes in proper posture (Structural)
It is difficult to walk or run with proper posture (Dynamic)
It is difficult to balance with proper posture (Neuro)
5. Overall, how would you describe yourself?
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You commonly have or have had sports-related injuries (Dynamic)
You have chronic pain that has lasted for 6 months or more (Neuro)
You have pain while at work, or after work (Ergo)
Your neck hurts from looking down at your cell phone or device (Structural)
6. Which best describes how you feel during exercise?
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You feel off balance (Neuro)
Your core muscles are weak (Dynamic)
It is difficult to exercise in proper posture (Structural)
You don't exercise (Ergo)
7. How would you describe your posture?
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Hunched forward while seated (Ergo)
Your neck and shoulders go forward while looking at our phone (Structural)
You commonly stand with more of your weight over one hip than the other (Dynamic)
You look down or keep your feet wide apart to feel more stable (Neuro)
8. Do you like how your posture looks?
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Yes, I have good posture
No, I want to improve my posture to look better (Structural)
9. Does your workplace emphasize proper ergonomics or do you have ergonomic equipment?
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Yes, my company has taught me about ergonomics or provided me with ergonomic equipment
No, I don't know much about ergonomics (Ergo)
10. After using a computer or device for prolonged periods of time, do you ever feel forgetful, confused, or like you can't remember what you were supposed to be doing?
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Yes, this happens to me (Neuro)
No, this doesn't happen
11. Would you describe yourself as an athlete or being in shape?
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Yes, I am athletic and in pretty good shape (Dynamic)
No, I am not very athletic and am not in great shape
12. How often do you exercise?
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I don't exercise very often because I don't have time (Ergo)
I don't exercise very often because I feel off balance (Neuro)
1=2 times per week (Structural)
3-7 times per week (Dynamic)
13. If you do exercise, which exercise do you prefer to do the most?
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Balance exercises (Neuro)
Abdominal exercises (Structural)
Neck and shoulders stretches (Ergo)
Mobility exercises (Dynamic)
14. If you did nothing to change your posture, which do you think will be your biggest problem in 5 years?
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Neck and shoulder pain (Ergo)
Low Back Pain (Structural)
Hip, Knee, or Ankle Pain (Dynamic)
Stress, anxiety, or depression (Neuro)
15. Do you commonly experience any of these posture problems, if so which is the worst?
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Your head goes forward in relation to your shoulders from squinting forward (Ergo)
Your head goes forward in relation to your shoulders from looking down (Structural)
Your shoulders round forward and you have slumped posture (Neuro)
Your hips are off or one leg is longer than the other (Dynamic)
16. Which type of posture would you most like to achieve?
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Well Balanced Posture (Neuro)
Posture Fit (Dynamic)
Occupational Athlete (Ergo)
Power Posture (Structural)
17. Do you feel addicted to technologic devices (smartphone, computer, iPad, etc.)?
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No, I'm not addicted to technologic devices (Dynamic)
No, I'm not addicted to technologic devices but I have to use them frequently for work (Ergo)
Yes, and I am starting to feel neck pain from my device use (Structural)
Yes, and I am starting to feel anxiety without my device (Neuro)
18. Which of the following Posture Problems would you say best describe you?
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Sitting Disease (Ergo)
Tech Neck (Structural)
Digital Dementia (Neuro)
Sports Related Injuries (Dynamic)
19. Why are you motivated to have better posture?
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To look better (Structural)
To move better (Dynamic)
To feel better at work (Ergo)
To overcome chronic pain (Neuro)
20. What would your ideal posture transformation look like?
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You stand tall with confidence (Structural)
You sit up straight and have energy all day at work (Ergo)
You have good athletic form when exercising (Dynamic)
You have well balanced posture and less pain (Neuro)
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