Women's Exchange Intro to Pelvic Floor Exercise Workshop Waiver
Please fill out this waiver for the Women's Exchange series where you will learn a simple at-home method from a health coach and personal trainer for strengthening and recovery of the pelvic floor. Thank you!
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Your name *
(Optional) If you would like to share the symptoms you are currently experiencing (such as leaks, urgency, excessive frequency, getting up more than once a night to use the bathroom, prolapse, overly tight pelvic floor, or other), please do so here. All information is strictly confidential and will simply help the trainer prepare to serve the group most effectively.
Are you medically cleared for moderate exercise?  *
Do you understand and agree that the information presented in this workshop is for educational purposes only and does not constitute medical advice, and you are fully responsible for your own health and safety in applying anything you learn here? (Required for participation) *
Do you have any medical conditions that might interfere with pelvic floor exercises? Please note any relevant conditions here. If none please answer No or N/A *
Any other comments, concerns, questions or requests for the workshop? Thank you!
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