Prenatal/Postnatal Information Request
Filling out this form will give me an idea of where you are at in your pregnancy, postpartum, and fitness journey. Whether you're newly pregnant or your baby is 10 years old, growing a baby is hard work and takes a toll on the body. Finding the right exercises to strengthen and heal will lead you to feel more energetic and confident in your new body. After submission, I will email you with details on my programs and what options might work best for you!
Name *
Your answer
Age *
Your answer
Gender *
Email Address *
Your answer
Phone Number
Your answer
How many weeks pregnant are you? Or how many weeks/months postpartum? *
Your answer
How many children have you been pregnant with?
Your answer
Are you currently doing anything for exercise?
Your answer
Have you ever had a coach before?
Do you have any health conditions I should know about?
Your answer
Describe your fitness and health goals.
Your answer
Can you rate your current fitness level (1 to 10)?
Do you have leaking? Pelvic pain? Or prolapse that you know of?
Your answer
What do you think my coaching can help you achieve?
Your answer
How much are you willing to invest in yourself/your health and fitness?
What are some obstacles that may stop you from reaching your fitness goals?
Your answer
Is there anyone else who may be involved in either your decision to hire a coach or your desire to stick with a fitness program?
Your answer
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