Runner Mobility Assessment
Please complete this assessment to help evaluate your current mobility and movement patterns as a runner.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
How would you describe your running experience?
*
Beginner
Intermediate
Advanced
How many days per week do you typically run?
*
Please Select
1
2
3
4
5+
Have you experienced any pain or injury in the last 6 months?
*
No
Yes, minor pain
Yes, major injury
If yes, please describe your pain or injury (if applicable):
Mobility Assessment Table
*
Rows
No Difficulty
Some Difficulty
Unable to Perform
Squat to parallel
1
2
3
Single leg balance (30s)
4
5
6
Touch toes standing
7
8
9
Lunge with knee touch
10
11
12
Hip rotation (internal/external)
13
14
15
Ankle dorsiflexion
16
17
18
Rate your overall mobility as a runner:
*
1
2
3
4
5
Do you have any current mobility goals?
Additional comments or concerns:
Submit Assessment
Should be Empty: