Bath Mama Fitness

Please fill out this form and submit to me so I can review before our first training session. You don’t need to complete this before our rapport call.

All information is 100% confidential and will not be disclosed or shared with anyone else. If you have any questions about this form, then please drop me an email at

About you

Do you have other children?

Your health

Are you on any medication?
This information will be used when considering the exercises you complete in class or if there is a medical emergency of any kind

Labour and pregnancy

Are there any conditions that you suffered with during pregnancy?
Did you exercise during pregnancy?
What type of delivery did you have?
Did you require an episiotomy?

Labour and post-partum

Information about your recovery from labour will help me to adapt exercises for you in class.

Have you had your 6 week GP check up? *
Are you breastfeeding?
Do you have ab separation?


I'm a fully qualified Level 3 Personal Trainer and Pre/Post-natal Specialist.

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