Strong & Thriving Mama Application: Pelvic Floor and Core Confidence 
Upon submission, I will review your application and contact you within 72 hours with next steps if I feel you're a good fit for the progam, and the program is the BEST fit for you!! 
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Email *
Apply to work with Mandi, Pelvic Floor PT and Postpartum Exercise Specialist
First and Last Name *
Email Address *
Are you currently pregnant or postpartum *
How many weeks pregnant OR how many weeks/months/years postpartum *
Please share a bit about what interests you in the Strong & Thriving M.A.M.A.S Programs  *
Are you struggling with any pelvic floor dysfunction (leakage, prolapse, diastasis recti, painful intercourse, etc)? If yes, please explain: 
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What have you tried so far to solve your concerns/challenge(s)?
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What do YOU feel you need in order to resolve your concerns?
(Your voice matters; any program you do should want to hear YOUR thoughts too!) *
If you were to work with me, what are your top 3 goals you want to achieve in the next 3-6 months?
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Where are you at in terms of your timeline of readiness to start the process of your postpartum + pelvic health recovery?
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In full transparency, I do not partner  with any insurance. My clients typically WANT to invest "outside the healthcare system" as it allows for a higher quality approach with personalized support + care.

Typically clients use HSA/FSA, Credit/Debit, or are willing to partner with us for a creative payment plan. Does that sound like it would work for you?
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Phone number *
Were you referred by anyone? Please share who sent you my way!  *
Share with my something FUN about you that you like to do, or would like to get back to doing!  *
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