Pelvic Floor Interest Survey

Name *

First Name

Last Name

What phase of life are you in? *

Pregnant

Under 1 year postpartum

1-5 years postpartum

5+ years postpartum

Do you know what the pelvic floor is? *

Yes

No

If you answered yes to the above question, do you know how it relates to your current phase of life?

Yes

No

Select topics you are most interested in: *

Incontinence (leaking pee)

Pelvic girdle pain (pain in the joints of the pelvis either in front or back)

Pelvic pain (pain more in the tissues of the pelvis that may be brought on with pelvic exam, intimacy, going to the bathroom)

Diastasis recti (abdominal separation where you may notice doming or bulging in the abs)

Pelvic Organ Prolapse (displacement of one or more of the pelvic organs that may cause pressure or other symptoms)

How to prepare for birth to avoid pelvic floor injury

How to recover from a cesarean birth to reduce risk of future injury