Pre/Post Natal PAR-Q Pre Screening Question Title * 1. What is your age? 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older OK Question Title * 2. What is your gender? Female Male OK Question Title * 3. What is your full name? OK Question Title * 4. Do you have any of the conditions listed below? (if so please check all that apply Symphysis Pubis Dysfunction (pain in the central pubic area) Sacrum or Sacroiliac Joint Pain (pain in the very low mid back – top of buttocks) Bleeding during or after exercise or any unexplained bleeding Carpal Tunnel Syndrome (Wrist/finger/hand forearm pain/numbness or tingling) Knee Pain (Side/front) High/low blood pressure, episodes of faintness, dizziness or breathlessness, history of Thrombosis or blood clots Upper Back/Neck/Shoulder Pain Coccyx Damage or Pain Diastasis (Separation of your abdominal muscles) Prolapse (Uterine, Bladder, Rectum, Vaginal) Breast Health/Breast Feeding Issues Piles/Haemorrhoids/Varicose Veins/ Constipation Anaemia or taking Iron medication Joint Pain Buttock/Piriformis Pain/Sciatica Dooming of stomach or pain there during workout Other (please specify) OK Question Title * 5. Please check the procedures or conditions that apply to you and your pregnancy. Prolapse (Uterine, Bladder, Rectum, Vaginal) Nerve Damage During Birthing (Especially Pudendal) After Effects of Gestational Diabetes C-Section Piles/Haemorrhoids/Varicose Veins/ Constipation Episiotomy Cut, Painful Perineum or Tears Extreme bleeding post birth OK Question Title * 6. Do you have any tears, surgeries or previous medical surgeries I need to be aware of? OK Question Title * 7. Did you have any tears during pregnancy? If so, what grade tear did you have and have you healed from it? OK Question Title * 8. Have you been cleared by your medical team to begin exercise? Yes No Unsure OK Question Title * 9. Check any boxes that apply to you Currently breastfeeding/pumping Currently Exercising Haven't returned to exercises yet Wanting to return to a specific sport Wanting to return to a specific activity or exercise Currently Sleep 6+ hrs per night Wanting to improve overall health and wellness OK Question Title * 10. How many children have you had? OK DONE