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0434 358 244
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Sunshine, Strength & Acai
Please fill out this form if you are attending our event
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?
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