Pelvic Floor Assessment Follow up Survey

Now that you’ve downloaded the self assessment, share your experience so I can help you build confidence in your pelvic health.

PFAssessmentSurvey

Name

First Name

Last Name

Email Address

What prompted you to download the pelvic floor self assessment?

Were the instructions in the self assessment clear & easy to follow?

If no, please elaborate.

Are/were you experiencing symptoms?

If, yes, what are/were they?

Did you find anything that surprised you during the assessment?

Have the findings helped you in any way?

If, yes, how?

What steps are you planning to take next?

If a course was available for you to solve the problem you were having would you take it?

Yes

No

Maybe

We respect your privacy.