Mighty Mom Client Application
We are so excited to get to know you and start working together - Take a few minutes to fill out this form so we can match you with a trainer that will help you reach all your goals. The more information we have, the better we can do our job! Once you fill out your application we will be reaching out to connect with you soon!

Feel free to reach out to us at info@mightymom.ca if you have any questions!

You will hear from us soon!

Jess and the team
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Email *
Your age *
What is your name? *
What is your address? *
What is your contact number
What are your fitness goals? Why did you contact Mighty Mom™ *
Describe your exercise history. What have you done in the past? What worked for you and what hasn't.  What kind of exercise do you like/not like *
Describe any physical limitations or injuries you have had in the past and are currently dealing with.
Are you pregnant? *
Required
If you are pregnant, how many weeks? Describe how your pregnancy has been so far - tired/nauseous/painful? How are feeling currently? *
Are you on any medications that will affect your exercise? Do you have any chronic illnesses that your trainer should be aware of
Do you have any pelvic floor symptoms? Pain/Pressure/leaking? Any prolapse, Diastasis Recti or and other core dysfunction? If yes, please explain and describe
Are you seeing a pelvic floor physiotherapist?
What is your occupation? What is your typical day like? Are you very active/sedentary?  
Describe your support system. Who do you live with? Do you have children?  How old are they?
What is your stress level? How are you sleeping? Describe any situation in your life that will impact your training.
Have you ever had a personal trainer before? If so, when and what type of training did you do?
Are you in pain right now? Which movements make it worse/better? Please describe
What type of training are you interested in?
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What is your availability to train? Which days/times will work well?
Are you willing to travel for training or would you prefer a trainer to travel to you?  
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Is there anything else we should know about you that you haven't mentioned already?  Here is your chance!
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