Client intake form

Before we get started, it’s important that I understand a little bit about you! Your medical history, injuries, training experience and goals all plays a major role in your programming and success.

I know intake forms are boring, but please take the time to fill this form out before your first session with me. Thank you!

Name

First Name

Last Name

Phone

Please add your country code e.g. +49 15167024681

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Medical

Please provide any relevant past or current medical concerns or medications that may impact your training. E.g. Blood thinners

Injuries

Please provide any injuries (past or current) that may impact the type of training we do together.

Activity (Sports / Training / Exercise)

Please list any other forms of activity that you do currently. How often do you train per week?

Pilates Experience

Please let me know your Pilates experience

Mobility Experience

Please let me know if you've tried Mobility training before?

Goals

What are your goals? It can be as generic or as specific as you like. E.g Do a handstand, stronger core etc.

Medical Clearance

If you have a medical condition or a injury you must be cleared by your medical practitioner before starting training. Checking this box indicates that you are cleared for training.

Yes, I'm cleared for training

Pre / Post Natal

Pre and post natal clients must have clearance from their OBGYN before starting training.

N/A

Yes, I'm cleared for training

Liability Wavier

You agree that if you engage in any physical exercise or activity, including personal training, or enter our premises or use any facility or equipment on our premises for any purpose, you do so at your own risk and assume the risk of any and all injury and/or damage you may suffer, whether while engaging in physical exercise or not. This includes injury or damage sustained while and/or resulting from using any premises or facility, or using any equipment, whether provided to you by RE/FRAME or otherwise.

Yes, I accept

Client intake form

no SHORTCUTS, no excuses!

I look for women who are passionate about investing in their health and fitness. create more confidence, move & Feel better & live your best you!