Welcome to
Bump Strong Fitness!

Before you get started, we need to ask you a few important questions about your pregnancy and health. This helps you understand whether you should seek advice from your maternity team before exercising and ensures you can use Bump Strong Fitness as safely as possible.

YOUR EMAIL ADDRESS (Please use the same email you just signed up with)

ESTIMATED DUE DATE - Day

ESTIMATED DUE DATE - Month

ESTIMATED DUE DATE - Year

HOW ACTIVE ARE YOU CURRENTLY?

New to Exercise

Occasionally Active

Exercise 1–2 Times Per Week

Exercise 3–5 Times Per Week

Very Active

WHAT ARE YOUR GOALS? (select all that apply)

Stay active during pregnancy

Build strength

Improve energy

Reduce pregnancy aches & pains

Prepare for labour

Improve core strength

Support my pelvic floor

Recover well postpartum

Improve overall fitness

YOUR PREFERRED WORKOUT LENGTH?

10 Minutes

15 Minutes

20 Minutes

30 Minutes

45 Minutes+

WHAT AREA WOULD YOU LIKE ADDITIONAL SUPPORT WITH? (select all that apply)

Pelvic floor strengthening

Diastasis recti recovery

Back pain

Pelvic girdle pain

Mobility & flexibility

Labour preparation

General strength & fitness

PRE-EXERCISE HEALTH SCREENING (PREGNANCY PAR-Q) - Please answer the following questions honestly:

Has a healthcare professional advised you not to participate in exercise during your pregnancy or postpartum recovery?

Yes

Do you currently have a medical condition that may make exercise unsafe?

Yes

Have you experienced unexplained vaginal bleeding during this pregnancy?

Yes

Have you been diagnosed with a pregnancy-related complication that may affect your ability to exercise safely?

Yes

Are you currently under medical supervision for a condition that may affect physical activity?

Yes

***If you answered YES to any of the above questions, we recommend obtaining approval from your healthcare provider before participating in our exercise programmes.***

MEDICAL CLEARANCE DECLARATION

If applicable, I confirm that I have received approval from my healthcare provider to participate in exercise.

Yes

Not applicable

PARTICIPANT DECLARATION

I confirm that the information provided is accurate and complete to the best of my knowledge.

Form submission[]

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Welcome toBump Strong Fitness!

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Welcome to
Bump Strong Fitness!