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New Client Form
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Name
*
First
Last
Email
*
Phone Number
*
1. What would you most like to get out of Pilates?
Tell me about any goals or areas you’d especially like to work on.
2. What is your current movement or exercise routine?
Include any regular exercise, sports, walking, dance, Pilates, yoga, etc.
3. Have you practiced Pilates before?
*
No
A little
Yes, regularly
Phone Are is
4. Is there anything about your body or movement that would be helpful for me to know?
*
For example: areas of pain or discomfort, past injuries, surgeries, movement limitations, balance concerns, or movements you prefer to avoid.
5. Are there any health conditions that may affect your Pilates practice?
*
Please share only information you feel is relevant to participating safely and comfortably.
6. Is there anything else you’d like me to know before we meet?
* Emergency contact name
*
* Emergency contact phone number
*
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