Item # | Question | Response options |
---|---|---|
1. | Please select one that best describes your functional level. | I can use both arms and legs to exercise. |
I can use both arms to exercise with good trunk control. | ||
I can use both arms to exercise with little or no trunk control. | ||
2. | Do you have any pain in your lower back that would limit you from doing exercise in that area? | Yes |
No | ||
3. | Do you have any pain in your shoulder(s) that would limit you from doing exercise in that area? | Yes |
No | ||
4. | Do you have any pain in your knee(s) that would limit you from doing exercise in that area? | Yes |
No |