Feedback Survey
1.
What is your age?
Under 18
18-24
25-34
35-44
45-54
55-64
65+
2.
What are topics you are interested in learning more about?
Pregnancy - Anatomical and physiological changes by trimester
Pregnancy - Hormone changes
Pregnancy - Sleeping positions
Carpal tunnel
Positional dizziness (vertigo)
Pelvic pain/pain with sex
Pelvic organ prolapse
Urinary incontinence (leaking)
Urinary urgency/overactive bladder
Fecal incontinence
Constipation
Hemorrhoids
Cesarean section recovery
SI dysfunction
Sciatica
Low back pain
Neck pain
Return to activity after childbirth (i.e. running, jumping, strength training)
Activities you can do before 6 week OB visit
Pelvic floor anatomy
Diastasis recti
Other (please specify)
3.
If you are/have been pregnant, what are issues you have encountered during pregnancy?
Neck/upper back pain
Low back back
SI dysfunction
Sciatica
Calf cramps
Carpal tunnel
Dizziness
Round ligament pain
Incontinence/leaking
Pelvic pain/pain with sex
Hip pain
Pubic symphysis dysfunction/pain
Pelvic pressure
Difficulty with positioning for sleep
Hemorrhoids
Constipation
Varicose veins
Other (please specify)
None of the above/Not applicable
4.
If you have given birth, what birth experiences have you had? (Select all that apply)
Vaginal
Cesarean
VBAC
Not applicable
5.
If you have given birth, what are issues you encountered postpartum?
Urinary incontinence
Fecal incontinence
Pelvic organ prolapse
Granulation tissue
Vaginal tearing
C-section scar pain
Inability to return to activity
Diastasis recti
Pain with sex
Hemorrhoids
Clogged milk ducts
Mastitis
Overactive bladder
Other (please specify)
None of the above/Not applicable
Current Progress,
0 of 5 answered