Weekly Check-In Template for Prenatal & Postnatal Fitness Coaches

Use in FirstRep form

Personal Information

Collect essential data to tailor fitness programs for each individual.

Aa Name *

Enter your full name

D Due Date / Birth Date *

Select due date or baby's birth date

v Trimester *

Medical Clearance

Ensure safety by confirming medical clearance from a healthcare provider.

Y/N Medical Clearance Received? *

Aa Healthcare Provider's Name

Enter your healthcare provider's name

D Date of Clearance

Select date of medical clearance

Exercise History

Understanding previous exercise habits helps with safe program design.

v Previous Exercise Frequency *

vv Type of Exercises Enjoyed *

... Any Past Injuries?

Describe any past injuries or conditions

Current Fitness Goals

Clarifying goals aids in creating focused and effective fitness plans.

Aa Primary Fitness Goal *

What is your main fitness goal?

vv Specific Areas of Focus *

... Additional Goals

Any other fitness goals you have?

Post-Exercise Feedback

Gathering feedback post-exercise helps with continuous improvement.

... How did you feel after exercise? *

Describe your feelings post-exercise

Y/N Any Discomfort or Pain? *

1-10 Rate Your Energy Level *

Rate from 1 (low) to 10 (high)

Pelvic Floor Check-In

Addressing pelvic floor health is crucial during and after pregnancy.

Y/N Pelvic Floor Exercises Done? *

Y/N Any Incontinence Issues?

Y/N Pelvic Floor Specialist Consult?

Why Use This Template

Promotes Client Engagement

Regular check-ins help clients feel supported and motivated.

Enhances Safety Measures

Ensures that exercises are safe and tailored to each client's stage.

How to Use

Distribute this template at the beginning of the week for clients to fill out.

Review responses and adjust workouts accordingly.

Customization Tips

Tailor sections based on individual client needs.
Include specific exercises relevant to each trimester.
Add motivational quotes or affirmations for encouragement.

Build and send prenatal & postnatal fitness templates digitally with FirstRep. Free for up to 3 clients.

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Frequently Asked Questions

What if I haven't received medical clearance?

It's crucial to obtain medical clearance before starting any exercise program.

Can I participate if I have previous injuries?

Yes, but it's important to modify exercises and consult with a healthcare provider.