Client Information Form
Welcome! Our mission is to empower you to be in control of your own health and well being through the Pilates method. To better serve you, we ask that you please take a few minutes to complete this form. Thank you.
Please complete all appropriate fields below. Shaded fields are required.
1. What specific fitness or health goals do you hope to achieve through the Pilates method?
Work target area:
2. List all current and any meaningful previous activities.
3. Describe your present physical condition.
4. Describe your physical history.
Please specify which areas of your body were affected Right ( R ) or Left ( L ).
5. How did you find out about The Pilates Center? If applicable please include the name of the person who referred you (friend, doctor, physical therapist, etc.).
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Document Name: Client Information Form
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