1. |
Current musculo-skeletal condition
How would you rate the current
condition of your musculo-skeletal system?
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Dreadful |
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Excellent |
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0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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7 |
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2. |
Body composition
How
close are you to your ideal weight? |
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Kg |
>20 |
20 |
18 |
16 |
14 |
12 |
10 |
8 |
6 |
4 |
<2 |
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0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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6 |
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3. |
Squat
Poor Good |
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0 |
5 |
7 |
9 |
11 |
14 |
17 |
20 |
23 |
25 |
30 |
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0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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10 |
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4. |
Abdominal strength
Poor Good |
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<5 |
5 |
7 |
9 |
11 |
14 |
17 |
20 |
23 |
25 |
30 |
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0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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6 |
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5. |
Upper body
strength
Poor Good |
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<5 |
5 |
7 |
9 |
11 |
14 |
17 |
20 |
23 |
25 |
30 |
x |
8 |
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0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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6. |
Hamstring flexibility
Poor Good |
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Can't touch toes |
F |
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P |
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W |
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x |
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0 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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7 |
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7. |
Buttock flexibility - ability to sit up straight
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Fall Over |
Just |
Good |
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0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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7 |
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8. |
Shoulder function - wall test - a subjective
assessment |
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Elbows & wrists can't touch |
Wrists can't touch |
Wrists & elbows touch |
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0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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9 |
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9. |
Strength training behaviour - sessions per week
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0 |
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1 |
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2 |
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3 |
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0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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6 |
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10. |
Flexibility training behaviour
- sessions per week
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0 |
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1 |
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2 |
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3 |
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0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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3 |
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Total |
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69 |
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