Name: *

Surname: *

Phone: *

Email: *

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Age: *

What is your main goal from this programme?: *

What was your exercise level during before and during your pregnancy?:

Please state any concerns or things you think are important for me to know before undertaking the programme. I.E. early weeks post partum, C section birth, other complications:

Have you had your 6-8 week post partum check?:

Are you excited to start to regain your CORE CONFIDENCE?:

Lets get started!:

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