Text or Call Us(770) 452-0022
Compass Family Chiropractic

Performance Index

Pre-Exam Health Survey — a quick snapshot of how easily your body is moving today.

Free two-minute self-check. Rate eight everyday activities and get your Performance Index score instantly — no cost, no obligation. If you're already a patient, your care team will review it with you at your visit.

Your information

Rate your ability to perform each task

1 = no difficulty · 5 = extreme difficulty
1

Your usual hobbies, recreational, or sporting activities?

No difficultyUnable
2

Squatting?

No difficultyUnable
3

Lifting an object like a bag of groceries from the floor?

No difficultyUnable
4

Walking a mile?

No difficultyUnable
5

Going up or down 10 stairs (about 1 flight)?

No difficultyUnable
6

Standing for one hour?

No difficultyUnable
7

Sitting for one hour?

No difficultyUnable
8

Sleep?

No difficultyUnable
0 of 8 answered

Anything else we should know?

Your responses are sent securely to the Compass Family Chiropractic care team and are never shared.

Sign up for our newsletter

Get weekly tips for a bigger, bolder, more magical life.