Client Intake & Posture Profile

Client Intake & Posture Profile

First name

Last name

Email

1. Pilates / Gyrotonic Experience

No experience

Less than 6 months

More than 1 year

Previous experience (currently inactive)

3. Menstrual Information

None

Mild

Moderate

Severe

Menstrual Cycle regularity

Regular

Somewhat irregular

Very irregular

4. Posture / Functional Goals (multiple choice)

5. Current Exercise Habits

Rarely exercise

1–2 times per week

3+ times per week

Other regular exercise

6. Preferred Training Intensity

Gentle & relaxing

Moderate & progressive

Challenging intensity

7. Post-Exercise Recovery Response

Recover quickly, minimal soreness

Mild soreness, acceptable

Fatigue or prolonged soreness

9. Breathing / Relaxation / Sleep

Tension in neck & shoulders

Light or poor sleep

Shallow breathing

No major concerns

10. Previous Injuries or Surgeries

11. What would you most like to achieve through training?

12. Anything we should pay special attention to during training

I declare that the info I’ve provided is accurate and complete.

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