Daistasis Fitness Application Form
Hi and Welcome!
I love that you're here and interested in working with me.
Filling out this form will help me get to know what you need help with and have a better idea if we would be a good fit to work together.
Make sure you answer questions with as much detail as you can so I have some background on any symptoms you're feeling and where you're starting from.
I'll be in touch soon,
How many kids do you have? How old are they?
What symptoms are bothering you ? What are you feeling?
Diastasis Recti ( Abdominal Separation)
Pelvic Organ Prolapse
Leaking when you sneeze or jump
Sore hips or lower back
Heavy feelings in your pelvis
What have you tried before to fix this and why do you think it didn't help you?
What's your goal and how will you know you've been successful?
Do you realize that while I can prescribe a personlized rehab programme for you, you won't see results if you put the work in?
Do you have at least 15 minutes a day to devote to your core and pelvic floor rehab programme?
Is there anything else you think I should know about you and your symptoms? Do you have any other health issues that might interfere with exercise?
Send me a copy of my responses.
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