My Blog
UP-GROUND-UP Self-Assessment Self-assessment of mobility, confidence and adaptability.Participant Details First Name * Last Name * Email Address * Age Notes Relationship with the Ground I avoid going to the floor whenever possible I avoid going to the floor whenever possibleI feel anxious or unsafe near the ground I feel anxious or unsafe near the groundI worry about not being able to stand back up I worry about not being able to stand back upI avoid kneeling, squatting, or crawling I avoid kneeling, squatting, or crawlingI feel stiff or tense near the ground I feel stiff or tense near the groundI move cautiously and slowly when approaching the floor I move cautiously and slowly when approaching the floorI can sit on the floor comfortably I can sit on the floor comfortablyI feel relatively comfortable changing levels I feel relatively comfortable changing levelsI enjoy exploring floor-based movement I enjoy exploring floor-based movement Descending Towards the Ground I need strong support or furniture to lower myself I need strong support or furniture to lower myselfI hold my breath while descending I hold my breath while descendingI grip strongly with my hands or shoulders I grip strongly with my hands or shouldersI feel unstable leaning forward I feel unstable leaning forwardI lower myself one step at a time with hesitation I lower myself one step at a time with hesitationOne side of my body feels much stronger or more reliable One side of my body feels much stronger or more reliableI can lower myself continuously with moderate control I can lower myself continuously with moderate controlMy breathing remains mostly relaxed while descending My breathing remains mostly relaxed while descendingI can change direction while lowering myself I can change direction while lowering myselfI can descend smoothly and continuously I can descend smoothly and continuously Standing Back Up I cannot stand up from the floor without help I cannot stand up from the floor without helpI need both hands and external support I need both hands and external supportI strongly push on my knees or thighs I strongly push on my knees or thighsI grunt or hold my breath when standing up I grunt or hold my breath when standing upI need to pause halfway through the movement I need to pause halfway through the movementI feel unsteady when rising I feel unsteady when risingI can stand up slowly without support I can stand up slowly without supportI can stand up several times without excessive fatigue I can stand up several times without excessive fatigueI can rise smoothly with continuous breathing I can rise smoothly with continuous breathingI can move easily between the floor and standing I can move easily between the floor and standing Balance and Orientation I avoid uneven surfaces whenever possible I avoid uneven surfaces whenever possibleI feel unstable when turning quickly I feel unstable when turning quicklyI become dizzy when changing levels I become dizzy when changing levelsI rely heavily on vision to feel balanced I rely heavily on vision to feel balancedI feel stiff when changing direction I feel stiff when changing directionI feel safer when holding onto objects I feel safer when holding onto objectsI can recover balance relatively easily I can recover balance relatively easilyI can move while turning my head comfortably I can move while turning my head comfortablyI feel adaptable when my environment changes I feel adaptable when my environment changes Breathing and Tension I often hold my breath unconsciously I often hold my breath unconsciouslyMy neck or shoulders feel constantly tense My neck or shoulders feel constantly tenseMy jaw tightens during effort My jaw tightens during effortI feel rigid when concentrating on movement I feel rigid when concentrating on movementI become tired quickly during transitions I become tired quickly during transitionsBreathing out helps movement feel easier Breathing out helps movement feel easierI can maintain calm breathing while moving I can maintain calm breathing while movingMy body feels more fluid when relaxed My body feels more fluid when relaxed Movement Confidence I am afraid of falling I am afraid of fallingI avoid situations where I may lose balance I avoid situations where I may lose balanceI think carefully before changing level I think carefully before changing levelI feel disconnected from some parts of my body I feel disconnected from some parts of my bodyI feel uncertain during unfamiliar movements I feel uncertain during unfamiliar movementsI trust my body moderately I trust my body moderatelyI feel curious when exploring movement I feel curious when exploring movementI feel adaptable and confident in movement I feel adaptable and confident in movement Consent I consent to my data being stored for the purpose of assessment and reporting. I would like to receive workshop information. Calculate My Result
Self-assessment of mobility, confidence and adaptability.
First Name *
Last Name *
Email Address *
Age
Notes
I avoid going to the floor whenever possible
I feel anxious or unsafe near the ground
I worry about not being able to stand back up
I avoid kneeling, squatting, or crawling
I feel stiff or tense near the ground
I move cautiously and slowly when approaching the floor
I can sit on the floor comfortably
I feel relatively comfortable changing levels
I enjoy exploring floor-based movement
I need strong support or furniture to lower myself
I hold my breath while descending
I grip strongly with my hands or shoulders
I feel unstable leaning forward
I lower myself one step at a time with hesitation
One side of my body feels much stronger or more reliable
I can lower myself continuously with moderate control
My breathing remains mostly relaxed while descending
I can change direction while lowering myself
I can descend smoothly and continuously
I cannot stand up from the floor without help
I need both hands and external support
I strongly push on my knees or thighs
I grunt or hold my breath when standing up
I need to pause halfway through the movement
I feel unsteady when rising
I can stand up slowly without support
I can stand up several times without excessive fatigue
I can rise smoothly with continuous breathing
I can move easily between the floor and standing
I avoid uneven surfaces whenever possible
I feel unstable when turning quickly
I become dizzy when changing levels
I rely heavily on vision to feel balanced
I feel stiff when changing direction
I feel safer when holding onto objects
I can recover balance relatively easily
I can move while turning my head comfortably
I feel adaptable when my environment changes
I often hold my breath unconsciously
My neck or shoulders feel constantly tense
My jaw tightens during effort
I feel rigid when concentrating on movement
I become tired quickly during transitions
Breathing out helps movement feel easier
I can maintain calm breathing while moving
My body feels more fluid when relaxed
I am afraid of falling
I avoid situations where I may lose balance
I think carefully before changing level
I feel disconnected from some parts of my body
I feel uncertain during unfamiliar movements
I trust my body moderately
I feel curious when exploring movement
I feel adaptable and confident in movement
I consent to my data being stored for the purpose of assessment and reporting.
I would like to receive workshop information.
Calculate My Result