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New client questionnaire
First name
*
Last name
*
Email
*
Phone
*
Birthday
Month
Day
Year
Have you practiced Pilates before? If so, for how long and in what setting (mat, reformer, group, private)?
*
Do you currently have a movement or fitness routine? If so, what does it look like?
*
What are your main goals or intentions for working together?
*
Do you have any current injuries, chronic pain, or conditions we should be aware of? Are there any movements or exercises you’ve been advised to avoid?
*
What days & times are you looking for on a regular basis?
Morning
Evening
Weekdays
Weekends
1-2 sessions per week
3-5 sessions per week
What would a successful Pilates experience look or feel like to you in 3–6 months?
*
Thanks for your submission. I look forward to working with you on your movement journey!
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