Thank you for wanting to find out more about #TheDiastasisProject
If you'd like to find out more about the #TheDiastasisProject, then please fill in this form.
If you have already filled in this form, then you will be informed of the webinar and how to watch it!
Also on this form are some of the ways you might like to contribute to #TheDiastasisProject - let us know what you might be interested in helping us with!
We will send you emails to keep you up to date as things progress with the project
Please note that all contributions are voluntary and no financial remuneration will be able to be provided.
Thank you!
Would you like to:
To find out more about #TheDiastasisProject*
Yes please!
No thank you
First Name*
Last Name*
Email*
Country*
Region (of the world)
North America
Europe / UK / Ireland
Oceania (Australia, NZ, Pacific Islands)
Asia
Middle East
Central America / South America / The Caribbean
Africa
Timezone (standard)*
Occupation (Select All Applicable Options)*
General Public (Not A Health/Fitness/Wellness Professional)
Pelvic Physical Therapist / Physiotherapist
Pelvic Occupational Therapist / Osteopath / Chiropractor
Ortho/MSK/Sports/Other Physical Therapist / Physiotherapist
Ortho/MSK/Sports/Other Occupational Therapist / Osteopath / Chiropractor
Fitness / Wellness Professional - Trainer / Coach / Group Fitness Instructor
Exercise Physiologist / Scientist / Kinesiologist / Athletic Trainer
Athletic Therapist / Massage Therapist / Myotherapist / Bodyworker
Medical Doctor
Other Occupational Therapist / Osteopath / Chiropractor
Other Health Professional
Other Fitness/Wellness Professional
Student Health Professional
Student Fitness / Wellness Professional
Would you like:
To contribute in some way to #TheDiastasisProject? (by ticking yes you will be emailed a more detailed form on the many different ways you can contribute)
Yes please!
No thank you
To hear about courses where you can learn more about Diastasis?
Yes please!
No thank you
To donate your case to #TheDiastasisProject? (You will be emailed The Consult Request form)
Yes please!
No thank you
To have a paid consultation with Antony Lo about your Diastasis? (You will be emailed the link to book your appointment at a time that suits you)
Yes please!
No thank you
Do you have any comments?
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