We’re so excited to meet you!

Please fill out each question below to the best of your ability. Your responses give our teachers a better understanding of your history, goals, injuries and additional ways we can support you.

Name

First Name

Last Name

How did you hear about us?

What is your occupation, and what sports or hobbies do you enjoy?

Have you done Pilates before?

Please let us know of any surgeries you've undergone.

Please let us know of any ailments, aches, or pains that you deal with on a day to day basis.

Has your doctor ever told you that you have any sort of heart trouble or defect?

Are you, or could you be, pregnant?

Have you experienced faintness, dizziness, or have you lost consciousness while exercising?

Have you ever been told that you have arthritic joint, osteoporosis, or any bone or joint problem that may be made worse by exercise?

Do you suffer from neck or back pain?

Are there any movements that cause you pain?

Have you been referred to Pilates by a specialist?

What are your reasons for taking up Pilates?

We’re so excited to meet you!

The Pilates Tree Inc.