Exit Prenatal Core Training Assessment How much do the following symptoms impact your daily life? Question Title * 1. low back pain Not at all A little A moderate amount A great deal Question Title * 2. mid back pain Not at all A little A moderate amount A great deal Question Title * 3. sciatica Not at all A little A moderate amount A great deal Question Title * 4. abdominal pain Not at all A little A moderate amount A great deal Question Title * 5. pelvic floor weakness (incontinence, or prolapse symptoms) Not at all A little A moderate amount A great deal Question Title * 6. chronic constipation Not at all A little A moderate amount A great deal Question Title * 7. popped or herniated belly button Not at all A little A moderate amount A great deal Question Title * 8. diastasis recti Not at all A little A moderate amount A great deal Question Title * 9. SI joint instability Not at all A little A moderate amount A great deal Question Title * 10. pubic bone pain or instability Not at all A little A moderate amount A great deal Question Title * 11. poor fetal alignment Not at all A little A moderate amount A great deal Question Title * 12. How often do you have a collapsed posture? Never Sometimes Part of the day All the time Question Title * 13. Do you feel weak and disconnected from your core? Not at all A little During certain activities Completely Question Title * 14. Have you previously had long and difficult pushing phases? Never Yes Question Title * 15. Have you previously had "stop and start" or stalled labors? Never Yes Question Title * 16. Have you previously had difficult deliveries? Never Yes Done
