Submit the Client Intake Form

Schedule
Classes
Pricing
About Us
Contact
Get Started

Schedule
Classes
Pricing
About Us
Contact
Get Started

Get in touch

(386) 289-0393

studiocoreinfo@gmail.com

Client Intake Form

Please submit the form before coming into the studio for your first class. We can't wait to meet you! Feel free to call us with any questions.

Client Intake Form

Full Name:

Email:

Phone:

Address:

Date of Birth:

Have you taken Pilates before? If so, which studio?

What type of other physical activities do you participate in either at the gym, outside, etc.?

Please list any and all physical limitations (current and previous) that we may accommodate with variations, specifically osteoporosis:

Please list any and all medications that you are on:

What are your goals you hope to achieve with your pilates practice?

What is your preferred workout time?

Morning

Afternoon

Evening

Please list specific times/days that work best:

How would you rate your current fitness level?

Beginner

Intermediate

Advanced

How did you hear about us?

Instagram

Google

Member

Other

If referred by other or member, please list here:

Free Text

An instructor will review your responses with you when you come into the studio. This helps us best serve you and your individual needs in each class! Please note you must also sign the digital waiver after booking your first class.

Thank you for submitting the Client Intake Form. We can't wait to meet you! If you have any questions about getting started, don't hesitate to contact us.

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studiocoreinfo@gmail.com

(386) 289-0393

4645 South Clyde Morris Boulevard, Port Orange, Florida 32129