The Sweat Shop Pelvic Floor Risk Screening
Did you know that bladder and bowel control problems are a common issue? Did you know that women are at higher risk of these problems because of pregnancy, childbirth and menopause – and that certain exercises can cause or worsen these problems?

This survey has been designed to see if you are at risk of pelvic floor problems, and if so, to make sure your exercise program is pelvic floor safe. The survey will take 2 minutes to complete and your answers will be confidential.
About you
Name
Your answer
Email
Your answer
Phone number
Your answer
Are you currently pregnant?
Have you recently (or ever) had a baby?
Do you have, or have you had diastasis recti (abdominal separation)?
If you answered Yes to the question above - are you still experiencing symptoms relating to diastasis recti? And what are they?
Your answer
Are you going through or have you been through menopause?
Have you ever undergone gynaecological surgery (e.g. a hysterectomy)?
Do you have a history of lower back pain?
Have you ever injured your pelvic region (e.g. through a fall or pelvic radiotherapy)?
Do you suffer from constipation or regularly strain on the toilet?
Do you have a chronic cough or sneeze (e.g. because of asthma, smoking or hayfever)?
Are you overweight, obese or having a BMI over 25?
Do you frequently lift heavy weights (e.g. at work or at the gym)?
Do you
Accidentally leak urine when you exercise, play sport, laugh, cough or sneeze?
Need to get to the toilet in a hurry - or not make it there in time?
Constantly need to go to the toilet?
Find it difficult to empty your bladder or bowel?
Accidentally lose control of your bowel – or accidentally pass wind?
Have a prolapse (e.g. a bulge or feeling of heaviness, discomfort, pulling, dragging or dropping in the vagina)?
Suffer from pelvic pain or experience pain during or after intercourse?
Note
If you answered ‘Yes’ to any of these questions it is important to discuss a pelvic floor safe exercise program with an exercise professional. If you experience any of the symptoms outlined in the second part of the survey, it is also important to speak to your doctor or a continence professional – as many of these symptoms can be treated, and in many cases cured.
Would you like me to contact you to discuss your results? *
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