Apply For Coaching
Thanks so much for your interest in coaching! I will contact you within two working days with the next steps, if I think it could be a good fit to work together. Please be aware that submission doesn't guarantee a coaching spot. Love and muscles, Ivana xx 
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Phone
Name *
What is your main reason for taking up coaching? *
What have you tried in the past that hasn't worked? Please explain fully.
 *
Date of birth
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/
DD
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Height (cm) and weight (kg)
Are you on any regular medication?
Do you have any health condition that affects your quality of life? Please give more detail.
Do you have a history of lower back pain or any other type of back pain?
Have you had any injury or surgery in the past 2 years? Please explain.
Are you currently pregnant, trying to conceive or have been pregnant in the last 2 years?
Do you have any children? When were they born? Type of childbirth? Please give as much detail as you can.
Do you have any pelvic health concerns?
 *
Required
How much does your pelvic floor concerns trouble you on day-to-day basis and limit your choice of activities?
Not at all
A lot
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Do you practise or have you ever you practised any sport or exercise regularly ? Please give more detail.
How would you describe your overall physical health at the moment?
please choose on the scale 1-10
Lowest
Highest
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How would you describe your mental health and energy levels?
Lowest
Highest
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What does success look like to you? - If you had a magic wand, what health/fitness outcome would you wish for? *
What would you like to accomplish in the next 3 months?
Submit
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