Mailchimp Survey

Please complete this application questionnaire if you want to learn more about working one on one in online training with me.

What is your first and last name?
What is your email address?
What city and country do you live in?
What is your phone number? I will call you on What'sApp if you are not in Canada. (If you don't have WhatsApp I'll email you)
What's the best time to call you?
Morning
Afternoon
Evening after 6pm
In which stage of motherhood are you?
Not pregnant, but working on it.
Pregnant
New mom
Had my baby(ies) awhile ago
What are you seeking to improve? Check all that apply
Just need some fitness guidance
I want to get healthy and/or lose weight
I want to get rid of diastasis recti (aka mummy tummy)
I want to get rid of urinary incontinence (aka sneeze pee)
I want to know how to exercise after my c section
I want to build muscle and/or lean out
I want to have a healthy pregnancy
Please tell me a little bit more about your story and why you're interested to train with Denise as your coach to achieve your fitness /health/nutrition goals.
Would you like to be added to the Strong Mom Weekly emails to get more free content like recipes, workouts and more?
YES! No
How did you find out about Strong Mom?
YouTube
Facebook
Instagram
Google Search
A Friend
Other