Registration Forms
Before we set sail, tell me about your journey...
Physical Readiness Questionnaire
This is required prior to any of the ShipShape Services.
This will give me a brief background about your physical activity levels and what you're looking for from our time together.
Resource Documents
Below are links to additional resource documents. Feel free to print these out and use as part of your ShipShape journey.
Description and pictures of techniques to reduce the impact of a fall.
Balance, Breath & Movement Exercises
Stretching, balance, and movement exercises to help with balance and mobility.
Aging Well Exercises - Floor/Bed
Stretching exercises done on the floor or bed to help with core strength, posture and mobility.
Modified Borg Scale to identify level of exertion during cardiovascular exercise.
Use this worksheet to document and track your goals for success!
The Perceived Stress Scale (PSS) is a classic stress assessment instrument. The tool, while originally developed in 1983, remains a popular choice for helping us understand how different situations affect our feelings and our perceived stress.
Stages of Change/Change Plan Worksheet
As a first step, identify where you are in your readiness to make a behavior change. Behavior change is a process that unfolds over time involving progress through a series of stages.
Print and post these stretches by your desk and do them throughout the day to alleviate and reduce neck and shoulder stiffness.
This checklist was developed by the Greater Los Angeles VA Geriatric Research Education Center and affiliates, and is a validated fall risk self-assessment tool.