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* 1. What is your age?

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* 2. I wake up stiff in the mornings.

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* 3. I have a desk-based job.

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* 4. I smoke or have smoked regularly in the past.

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* 5. My shoulders are tense.

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* 6. I take regular exercise.

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* 7. I get more than 1 headache a month.

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* 8. I've had a car crash over 20mph (even if you weren't injured).

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* 9. I have had x-rays of my neck (choose all that apply).

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* 10. I have an obvious fatty neck hump.

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* 11. Other people have commented on my poor posture.

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* 12. My middle back feels stiff.

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* 13. I am happy.

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* 14. I am more than 25 pounds overweight.

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* 15. I drink alcohol.

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* 16. I can't stop slouching  when I try.

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* 17. My posture and health limits me (choose all that apply):

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* 18. In the last 4 weeks my pain has:

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* 19. My posture makes me feel:

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* 20. I can lift (choose best answer):

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* 21. I have scoliosis (curvature of the spine).

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* 22. I broke my leg as a child and wore a cast for several weeks.

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* 23. A biological parent had a knee or hip replacement.

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* 24. Women Only - I had a hysterectomy before the age of 50.

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* 25. Women Only - I had an C-section giving birth.

 
33% of survey complete.

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