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client intake form
How would you rate your current overall health?
Are you currently under the care of a medical provider?
Yes
No
Do you have any current or past injuries or conditions?
Do you have any movement restrictions or pain during daily activities?
Yes
No
Are you taking any medications that affect balance, coordination, or energy levels?
Yes
No
Have you done Pilates before?
Yes
Occasionally
Never
Have you used a Pilates Reformer before?
Yes
A few times - still learning
Never
What are your primary goals with Pilates? (Check all that apply)
Do you currently participate in other physical activities? (Check all that apply)
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