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Accelerator Application

Is the Power Over Prolapse Accelerator Group Coaching Program right for you?  I understand it's a BIG commitment and want to make sure that this program is the right fit for you (and vice versa:)

Take this survey to see if you qualify!  Let me know if you have ANY questions!  Jeanice

 

Click the button below to start!

 

Start

Question 1 of 16

How did you hear about myPFM? (check ALL that apply)

A

I follow Jeanice aka "mypelvicfloormuscles" on instagram

B

Instagram/Facebook Advertisement

C

Facebook Prolapse Community Group

D

Email

E

Referral

F

Other

Question 2 of 16

Have you had a pelvic exam by a licensed provider to confirm that you have pelvic organ prolapse AND clear you to begin an exercise program? 

A

Yes

B

No

Question 3 of 16

Do you have any of these red flags? 

 

A

Yes: Please see your healthcare provider for further evaluation

B

No

Question 4 of 16

Are you currently pregnant or plan to get pregnant within the next 6 months? 

A

Yes

B

No

Question 5 of 16

If you have given birth, are you at least 6 months postpartum? 

A

Yes

B

No

C

Not applicable

Question 6 of 16

What symptoms are you currently experiencing?   Check ALL that apply

A

Vaginal bulge, heaviness, pressure, or a dragging sensation

B

Leaks (bladder, bowel, or gas)

C

Pain related to prolapse or your pelvic floor muscles

D

Other

Question 7 of 16

What are your biggest obstacles right now? 

Question 8 of 16

Have you invested in your pelvic organ prolapse and pelvic health before? 

A

Yes

B

No

Question 9 of 16

How much did you invest and what was the experience like for you? 

Question 10 of 16

What do you want to be able to achieve in 3-6 months? 

Question 11 of 16

What is currently keeping you from being able to achieve your goals? 

Question 12 of 16

Is there any reason why you may not be appropriate for a small group exercise coaching program? 

A

No. I am cleared to exercise and am ready to begin!

B

Yes

Question 13 of 16

The strategies used in the Power Over Prolapse Accelerator Group Coaching Program have resulted in life-changing symptom eliminating break-throughs for countless people and we are confident in the impact it can have on your quality of life.  Based on this and your desire for a break-through, how willing are you to invest $1500 (equipment not included) to do WHAT you love with WHO you love without  pain, pressure, or leaks? 

A

I'm ready NOW

B

I'm not able to invest that up front but a payment plan would be feasible

C

I'm not ready at this time

Question 14 of 16

Are you willing to invest in the following equipment needed for this program?  

 

 

1) Exercise ball

2) Exercise bands

3) #3-#25 dumbbell or kettleball weights (weights will vary based on individual goals)

4) Optional but recommended: Home biofeedback unit (Costs vary from $60/month rental to $500 purchase.  There are a LOT of options)

 

Already have the equipment?  GREAT!  If no, don't worry.  We will send you links about what to purchase.  

 

 

A

Yes

B

No

Question 15 of 16

Are you willing and able to commit to 15-20 minutes of exercise at least 5 days a week AND use a journal tracker?   These exercises can be done in the comfort of your own home. 

A

Yes

B

No

Question 16 of 16

Finally, not everyone that applies gets into the program.  What makes you different from the other applicants and why do you think you would be a good fit for this program? 

Confirm and Submit