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Pilates Fitness Wellness
TRUE BODY FORM
TELL ME ABOUT YOU
Contact Info
Name
*
First Name
Last Name
Email Address
*
Phone
*
Health Questionaire
Birthday
MM
DD
YYYY
Height
Weight
Any history of injuries, minor pain, weakness or medical conditions? If yes, please describe.
Pregnant? If yes, how far along?
Teaching Types
What type of forms are you interested in? (Check all that apply)
Pilates
Fitness / Barre
Deep Stretch
Preferred Days of the Week
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred Time
Mornings
Afternoons
Evenings
Overall health/fitness goals and additional comments or questions:
Thank you!
