Are You Ready for Your Best Pregnancy?

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Application or Inquiry for a Beyond Basics Fitness & Nutrition prenatal appointment or training (only Trainer Edie will read your responses)

First Name *

Last Name *

Age *

Why did you choose to inquire about a prenatal consultation? *

I need advice for safe exercise and movement during my pregnancy

I want to know how to maintain a healthy weight during my pregnancy

I have diastasis recti and want to know how to manage it during my pregnancy

I'm experiencing back pain

I have gestational diabetes

I want to prepare for labour and delivery

Other:

If you are experiencing any other pain or unusual symptoms please explain.

What is your current fitness level? *

Poor

Fair

Solid

Excellent!

How many weeks pregnant are you? *

How many pregnancies have you had including this one? *

Have you hired a fitness trainer or coach before? *

Yes

If you answered yes, please explain. (Short answer is fine.)

Do you have an illness, injury or anything else that I should know about or could affect your training? *

Are you on any dietary restrictions, special diet or nutrition plan? *

What do you think my training specifically can help you achieve? (Required if you are inquiring about a training program.)

How ready are you to work on your best pregnancy possible? (Baby's health is also priority in my training.) *

So Ready!

Sort of, Not Quite Ready

Not Ready. Procrastination Is My Middle Name

I'm Still On The Couch and It's Getting More Difficult to Get Off by the Day

Are you prepared to invest in your body, health and fitness? ($125-400/month for training, $65 for a 1 hour appointment, $65-125 for a fitness/postural assessment.) *

I'd do it if it got me the results, no question

A little hesitant, but open to investing to solve this problem

I'd rather not spend any more money and stay where I am

I'm inquiring about what type of training sessions? *

One-on-one in person training

Partner in person training

3-4 small group in person training

Online Training

Hybrid (combination of in person and online training)

A one time appointment

Other:

If you are applying for partner training, are your and your partners' fitness levels and goals similar? *

Yes

N/A

If you are applying for in person partner or small group training, have you checked to make sure your schedules will mesh to train together consistently? *

Yes

N/A

Is there anyone else who may be involved in either your decision to hire a trainer or your desire to stick with a fitness program? *

Has your doctor given you the OK to exercise? *

Yes

Yes, but with conditions

Phone Number *

Best Email Address *

Note the best days and times for me to call to answer any questions you may have. (In the meantime you may find your answer at https://www.beyondbasicsfitness.ca)

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