Posture Program Week 3 Assessment

Complete the following questions to better understand your pain and help us improve the program!

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* 1. Employee ID (1001234 - for spouse add an S - ie. 1001234S)

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* 2. On a scale of 1-10 (1=no pain - 10=significant chronic pain)

Please rate the amount of musculoskeletal pain you are currently in (all joints, muscles, and body parts)

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* 3. Please check all areas of the body that you have pain and discomfort (at least once a week)

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* 4. Please select the number of times you completed the Week 3 Exercise Prescription for your Knees.

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* 5. Did you see improved functionality after completing the 3 Week Posture Program?

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* 6. Did you see decreased pain after completing the 3 Week Posture Program?

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* 7. Would you recommend the 3 week Posture Program to friends and family?

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* 8. Which weekly exercise regime did you find most helpful?

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* 9. Comments about current pain, discomfort, or improvements after completing the 3 week Posture Program?

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* 10. Besides participation in the Posture Program, do you plan to take steps to continue your journey to less musculoskeletal pain?  If so, how? (Exercise, stretching, chiropractor, etc.)

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