Exit Floor of Your Core Assessment How much do the following symptoms impact your daily life? Question Title * 1. low back pain Not at all A little A moderate amount A great deal Question Title * 2. pain with intimacy Not at all A little A moderate amount A great deal Question Title * 3. pelvic floor weakness (incontinence, or prolapse symptoms) Not at all A little A moderate amount A great deal Question Title * 4. sciatica Not at all A little A moderate amount A great deal Question Title * 5. chronic constipation Not at all A little A moderate amount A great deal Question Title * 6. diastasis recti Not at all A little A moderate amount A great deal Question Title * 7. tailbone pain Not at all A little A moderate amount A great deal Question Title * 8. abdominal pain Not at all A little A moderate amount A great deal Question Title * 9. pubic bone pain or instability Not at all A little A moderate amount A great deal Question Title * 10. SI joint instability Not at all A little A moderate amount A great deal Question Title * 11. bowel urgency or incontinence Not at all A little A moderate amount A great deal Question Title * 12. urinary urgency Not at all A little A moderate amount A great deal Question Title * 13. How often do you have a collapsed posture? Never Sometimes Part of the day All the time Question Title * 14. How often do you need to bear down for bowel movements? Never Rarely Sometimes All the time Question Title * 15. Do you feel weak and disconnected from your core? Not at all A little During certain activities Completely Done
