Postnatal Intake Form Please take your time to fill out the questionnaire below Full Name Email Adres Date of Birth [dd-mm-yyyy] Phone Number Street and Number Postal Code City Do you have specific goals? In which sports are you currently active? Did you work out before you were pregnant and/or while being pregnant and which sports did you perform? When was your baby born? Were there any particularities during the birth? (medical indication / episiotomy / cesarean section/etc.) How is your recovery going and how are you feeling? Do you have any residual complaints? (Low blood pressure / back problems / incontinence / pelvic pain / reduced psychological conditions / etc.). Did you get any help with these conditions? And with what results? Did you visit a pelvic physiotherapist? Do you breastfeed at this moment? Or since how long have you stopped? Names and age of other children Is there any other important information (hyper-mobility, work or home situation, etc.)? Do you grant Dottir Training permission to use content media material of you? Do you grant Dottir Training permission to use content media material of you?YesPlease consult meNo Indienen