Pre Course Questionnaire Full Name* Where are you attending the Discreetly Fit Course?OnlineGordonCastle HillBondi JunctionMcGraths HillNorth SydneyMarrickvilleSummer HillOccupation* 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 EmailThis field is for validation purposes and should be left unchanged.
