CLIENT INTAKE FORM

Welcome to PILATES MOVEMENT.
To better serve your health and fitness needs, we ask that you please take a few minutes to complete this form.

Thank you.

Name *
Name
Address
Address
Phone *
Phone
Birth Date
Birth Date
Section
Check all body parts that are involved. Also, please note anything else we should be aware of.
 

 
I am a physical therapist and have seen patients after Pilates injuries. The instruction at Pilates Movement ensures this is unlikely to happen. Therese adapts the session for the individual, identifies your weaknesses to help you through them. She gives excellent feedback and cueing so that each rep does what it’s suppose to do. I have recommended this studio to my patients!
— Rachel Thiel DPT, CSCS - Student