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MASTER POSTURAL INTEGRATOR
INITIAL STRUCTURAL ANALYSIS QUESTIONNAIRE
This is information I like to know when I analyze people,
You may just fill in what is appropriate for you.
Answers may be brief.
If you have MORE to add, just include it.
If it seems like a LOT, then just do a little when you contact
You may either make your own email or tell me when we talk
on the phone, or you may enter applicable answers in this
page & copy it - then email it back to me with your other info.
321 726 9083
Version Nov 25, 2006
Copyright 2005, 2006 Louis A. Gross, All Rights Reserved
Spreading" Stretching & How-to-do-Bodywork
Free Consultation for Stretching, Bodywork & Body-Mind Therapy Page
Q & A Analysis for Misalignment, backs, pain, interconnected muscles Page
Visual Photo Analysis available Free
Get OK from Lou to do it - and send 4 photos either as digital attachments or Polaroids or prints. Stand near a door or other straight vertical line I can use for reference. Full front, back, one side, (include your BARE feet) & then a
45 degree from a rear side - from top of thighs to head. Best to wear a bathing suit, leotard, or short running shorts & a small top. I want to see the back, especially low back, without clothes on the area & to see your angular zig zag shapes & side to side tilts and twists.
PAIN and TIGHTNESS
Pulls and tears like hamstrings or Achilles tendons, or where?
Do you have a degenerated disk?
WHAT DOES YOUR SHAPE LOOK LIKE?
Do you have a big arch in your lower back?
Does your pelvis tilt forward, or back? That is, is your pants beltline horizontal to the floor or does it slant down to the front, or back? Then look at your hip joints and pelvis, do they swing forward and do your thighs lean forward instead of going straight vertically up and down? Do the calves bulge backward while your legs lean forward?
If you put your hand around to your lower back and
feel with the back of the hand, do you have a notch inward, at the spine?
And do the muscles on either side bulge outward, like big ridges? You can
even see this in a mirror. And if you have the inward notch, bend forward
from the waist and then, how far forward do you have to bend, say in
inches or at an angle from vertical, for the notch to go away?
Does your upper back curve down to the front, and your neck and head jut forward, off your shoulders, and then, does your neck and head arch backward, to hold your head up?
If you lean the upper back backward, does it hurt? Where? Like, if you raise your arm(s) over your head up in the air, and pull the arms backward a little so your chest gets pulled on and your upper back bends backward, is their tightness or pain and where?
Can you lean your lower back backward? Does it hurt? Where? Do you get pains in the lower back middle, left, right? Do you have or get pain in the upper part of the buttocks, just below the top edge of the pelvic bones just above your buttocks?
How well can you tilt your sides left and right?
Do your arms curl in, from the front of the shoulders?
Do you have tight abs? Do you do sit ups or crunches? Did you used to?
Do you have a protruding belly?
Are you pregnant? Were you pregnant? Did you get an arch in your back from carrying the bog baby in front of the belly
Do your hamstrings in the back of your thighs have a bulge in the middle?
Are the hamstrings tight?
Are your calves tight? Do they bulge backward? Are your feet tight
Do you work out? With free weights? With
Do you run or do long walks or hike up hills or mountains? Do you bike ride a lot? Do you bounce on a mini trampoline a lot?
Do you stretch and/or do yoga? If yoga, what brand of routine, if any like Bikrams Routine, or Iyengar style, or Sivananda? Or what describe what you do a lot of.?
If you bicycle, when you go long distances do your legs (and torso) get very tight? Did you used to bicycle or run?
If you bicycle, do you lean forward over the handlebars and then have to arch your neck and/or upper back upward and back? Do you get tight or pains there?
Do you roller skate. Ice skate, ski, roller board? Etc?
If you stretch for your back, what stretches do you do specifically?
Did you, do you, have knee, ankle, or hip injuries? Please describe, incl about when they happened.
Putting your feet shoulder width apart, have you kneecaps pointing forward and then see what direction your feet point. Do they point forward in the same direction as your kneecaps or do they point outward, and how much outward? Or, do the feet point inward?
Do your lower legs (or even thighs) have a bow leggedness? Even one? That is, to they have a bow bend to them, outwardly?
How are your foot arches? Flat footed? High arches?
Is your pelvis tight?
Are your knees locked?
Do you have a leg where the knee is angled inward? The thigh and lower leg angle inward so the knee is more to the other leg than straight up and down?
Is one leg shorter than the other? Does your pelvis or shoulder look higher on one side than the other? Does your beltline tilt to one side? Do you wear a lift in one shoe? Or both? Does it help?
Do you have sciatica? Which leg? Or both? At the same time, or does it shift back and forth? How long have you had it? Can you do something to relieve it?
Does your neck feel tight? Is it hard to turn far left and right? If you turn it left and right, does it pull into your upper back and/or front of the chest?
Are your shoulders tight? Can you raise your arms straight up, over your head, with the upper arm near your ear and the elbows locked straight?
Are your head and face tight? Where? F\or how long?
Do you wake up in the morning tight or stiff? And where? Lower back?
BODY THERAPIES THAT YOU GET.
Do you get massages? Shallow? Deep? Does it help? How often
Trigger point therapy? Where do you get it? Shoulders? All over? Does it help?
Shiatsu or acupressure? Up and down the spine? All over? Where? Does it help?
Acupuncture? Where did it help?
Have you had structural integration bodywork, Rolfing, Hellerwork, Postural Integration? Have you had myo-fascial release John Barnes method Bowen Method - other methods (please name)? Does it help?
Have you had Neuro-Muscular Release? Does it help?
Have you gotten chiropractic? Osteopathic joint manipulations? Applied kinesiology? Did it which - help?
How much did you get of any of these - which?
How long do the benefits form everything or anything you have had, last? Did it cure some things? What?
WHAT IS YOUR DIET LIKE?
Even though you eat what you call a healthy diet, for structural looseness, stretching & pain releasing purposes, I have found that almost all people with long term tightness and/or structural pains could eat some different foods and improve their structural condition.
What food(s) do you eat for breakfast?
What food(s) do you eat for lunch?
What food(s) do you eat for supper?
How much raw dark leafy greens do you eat?
How much fresh juicy fruit, like pineapples, grapes, etc do you eat?
How much of your diet is fruits and vegetables? Raw? Cooked?
Do you eat seaweeds?
If youre vegetarian, how much of your diet is made up of grains, ie: bread (even whole grain), pasta, rice, etc.
Do you take multi-mineral supplements? If so, what pills, capsules, liquids, powders?
Do you take chlorella, spirulina, blue green algaes, special foods like Greens Plus, etc? Which ones do you eat?
Do you have a BM daily? More than one?
How much water do you drink daily? 1,2,3 qts 1 gallon? More?
Do you have dry skin? Excema?
Trauma Info Negative Energy Info
Emotional fears and trauma such as falls and blows, accidents and abuse, even very difficult birth times, all put contracting energy into the body, so sometimes it helps to remove them with a technique we can use on the phone.
If you feel comfortable enough, please add something about this, too. Especially if you got hit, falls, pressed on, and/or tensed up a lot. Where were the blows? Did you get tightness from all of this
Copyright 2006 Louis A. Gross All Rights Reserved