Step 1 of 3 33% HiddenScreening QuestionnaireHiddenName(Required) First Last HiddenEmail(Required) Pregnancy QuestionsHow many weeks pregnant are you?(Required)Please enter a number from 0 to 41.Is this your first pregnancy?(Required)YesNoBe mindful of your prior pregnancy experience as you follow my program and choose exercises and intensity. Also talk to your doctor about your current pregnancy and how that compares to previous.If not your first pregnancy, is this your:(Required) Second pregnancy Third pregnancy Fourth pregnancy or more If not your first pregnancy, did you have:(Required)Natural BirthC-SectionComplicationsForceps DeliveryPremature DeliveryOverdue DeliveryIf not your first pregnancy, did you have abdominal separation after your pregnancy?(Required) Yes No I don't know Focus on my core programsCongratulations, you are in a minority of womenThis program will give you a test at the correct time.Have you had any miscarriages?(Required) Yes No If yes, how many?(Required)Please enter a number from 1 to 99.What was the cause of your miscarriage?(Required)Please consult your doctor before commencing this or any exercise program.Have you had Covid-19 Vaccination?(Required)YesNoWhich brand and how many doses have you received so far?(Required) Have you had any complications from receiving the jab?(Required) If not vaccinated – have you had Covid19?(Required)YesNoWhen did you have Covid?(Required)Before PregnancyDuring Pregnancy Informal Questions (Optional)Age20 and below21-2526-3031-3536-4040-5051-6061 and upWhat is your ethnicity? What is your country? Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands What type of exercise do you enjoy? Walking Running Swimming Gym Yoga Pilates Barre Classes Group Exercise Classes Less Mills Classes Select AllHow many sessions per week do you aim to do?Please enter a number from 1 to 14. Screening QuestionsPlease indicate if you have or have had any of the following or been told by a doctor not to do particular exercises:(Required) Back pain Stroke Diabetes (Type I or II) Asthma Epilepsy Varicose veins Hernia Dizziness or Fainting Arthritis Osteoporosis Any heart condition Chest pains High blood pressure Low blood pressure Raised cholesterol Had surgery Knee or shoulder pain Consult your doctor and specifically discuss these conditions and how they affect your exercise program Have you ever been told that you have any of the following conditions?(Required) Absolute Contraindications Haemodynamically significant heart disease Pregnancy induced hypertension Restrictive lung disease Incompetent cervix/cerclage Multiple gestation at risk for premature labour (>= twins) Persistent praevia after 26 weeks gestation Premature labour during current pregnancy Ruptured membranes Growth restricted foetus Persistent 2nd and 3rd trimester bleeding Uncontrolled type 1 diabetes Uncontrolled thyroid disease Other serious cardiovascular or systemic disorder Relative Contraindications Severe anaemia Unevaluated maternal cardiac arrhythmia Mild/moderate cardiovascular disorder Chronic bronchitis Heavy smoker Mild/moderate respiratory disorder History of extremely sedentary lifestyle Extreme morbid obesity Extreme underweight Malnutrition or eating disorder Intra-uterine growth restriction/retardation in current pregnancy Previous spontaneous abortion Previous preterm birth Twin pregnancy after 28 weeks Poorly controlled type 1 diabetes Poorly controlled hypertension/pre-eclampsia Poorly controlled seizure disorder Poorly controlled thyroid disease Orthopaedic limitations Other significant medical conditions Have you ever been told that you have any of the following conditions(Required) Yes No Consult your doctor and specifically discuss these conditions and how they affect your exercise programPrint this page for reference during your pregnancy
