You have been sent to this page because you have either booked a course or paid a deposit to secure your place on a training course with me.

Thank you! I look forward to working with you.

Please complete my Pelvic Health & Core Pre-Screening Questionnaire so that I can assess whether the programme is right for you.

Every woman is unique and your Core/Pelvic Health and/or incontinence issues will have their own unique origins. In order for us to assess whether this programme is right for you, we’d like you to assist us by answering the following questions as fully as possible. The answers you provide will help us to help you. Thankyou.

The information that you provide will remain COMPLETELY CONFIDENTIAL. You will receive a copy of your answers as will your Coach, the creator of the programme, Jenny Burrell and our clinical consultant Michelle Lyons. This ensures that we can thoroughly assess your suitability for the programme and if further help is required outside the scope of exercise we can also assist you in finding this help. Please rest assured that the information you provide on this form WILL NEVER BE SHARED. Your privacy is extremely important to us.