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Pilatesnord
Basic Information Form
This should only take about 2-4 minutes.
First name
*
Did you have a physical injury recently, if so please describe it.
*
No
Yes, I will describe it below
Injury Details
How's your flexibility?
*
Excellent
Good
Average
Not so good
Bad
How's your strength?
*
Very Strong
Strong
Normal
Weak
Very Weak
How's your balance?
*
Excellent
Good
Average
Not so good
Bad
How's your endurance during exercise?
*
Enjoy a long exercise session
Can take a long exercise if needs to be
Cannot take a long exercise
Gets tired with moderate exercise
Easily tired with any exercise
How are you with challenging exercises?
*
Always able to continue to the end
Mostly able to do them
Sometimes
Not so good with them
Almost always give up
Is there any discomfort you would like us to know and trying to fix through Pilates?
Is there any goal you would like to achieve with Pilates?
Anything else we should know before the lessons start?
Submit
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