Movement Assessment - Wellness Clusters LLC.

Name: *
Email: *
Time Zone:
How often do you currently exercise each week?
(Walk, stretch, dance, swim, yoga...)
{"type":"radio","name":"exercisefrequencymini","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please make a selection for this item.","options":"Rarely\nOnce or twice a week\nThree or four times a week\nFive or six times a week\nDaily"}



How long do you generally exercise for each time?
{"type":"radio","name":"exercisetimemini","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please make a selection for this item.","options":"1 - Less than 20 minutes\n2 - 20 to 30 minutes\n3 - 35 to 40 minutes\n4 - 40 to 50 minutes\n5 - More than 45 minutes"}



How satisfied are you with your level of exercise?
{"type":"radio","name":"exerciselevelmini","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please make a selection for this item.","options":"1 Least\n2\n3\n4\n5 Most"}



How would you rate your strength?
{"type":"radio","name":"strengthlevelmini","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please make a selection for this item.","options":"1 Weak\n2\n3\n4\n5 Strong"}



How mobile are you?
(How easily do you get around)
{"type":"radio","name":"mobilitymini","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please make a selection for this item.","options":"1 - Restricted\n2\n3\n4\n5 Fully mobile"}


Your Score  {"type":"computed","name":"movementscoremini","width":15,"value":"","size":"Normal","validation":null,"validationMessage":null,"formula":"(exercisefrequencymini+exercisetimemini+exerciselevelmini+strengthlevelmini+mobilitymini)/5","hidden":false}

 
Maximum 5

Click COMPLETE to learn what your score means.