Pre Course Questionnaire Dubai Full Name*What is the date of your course?*Occupation*AgeHow did you find out about Discreetly Fit?*What would you like to achieve by participating in the Discreetly Fit Program?*If you have children by birth, how old are they?Have you given birth or had surgery less than six weeks ago? No Yes Do you have a high risk pregnancy? No Yes Are you able to contract your pelvic floor muscles correctly?*YesNoUnsureDo you experience any of the followings in your pelvis/pelvic floor? Pain, including pain with sex/sitting or tampon insertion Soreness, tightness, throbbing, aching, stabbing, spasm Inability to empty the bladder/bowels easily and without pain Lower back pain radiating to the thighs or groin Regular bladder/vaginal infections No sensation of pelvic floor muscle contraction Chronic pelvic pain lasting more than 6 months including endometriosis or UTIs NameThis field is for validation purposes and should be left unchanged.