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0434 358 244
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Mum's, do you want to get strong again? Click here to get our "Strong Mums" cheat sheet.
Click here for Mental Health Week Program Questionaire
Mental Health Week
Please fill out this form if you are attending our Family Fitness or Mums and Bubs event on Tuesday 6th or Wednesday 7th October.
**Dads: please put N/A in questions that dont apply to you.
First name
*
Last name
*
Phone
*
Current fitness goals?
*
What made you choose to come along to this event?
*
Are you currently exercising?
*
What exercise activities are you currently doing or have done in the past?
*
Age of your child/ren?
*
Have you seen a women's pelvic health physio since giving birth?
*
Did you have a vaginal or c section birth?
*
Did you have any complications during pregnancy or birthing your children? If so please give details.
*
Do you have any joint/muscular pain or injuries (past or present) in any of the following areas? ankles, feet, knees, pelvis, back, shoulders, elbows wrists or neck? Please give details
*
Do you or have you had any of the following conditions? Arthritis, asthma, diabetes, epilepsy, osteoporosis, dizziness, vertigo, heart disease/conditions, stroke, high cholesterol, high or low blood pressure , or any other conditions not listed.
*
Do you know if you have an overactive, underactive or strong pelvic floor activation?
*
Do you have any abdominal separation?
*
Do you have any health issues not listed above?
Submit
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Click here to purchase pass
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