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FreetoBFit Client Movement Questionnaire
This form is for those interested in working with FreetoBFit as a way of communicating their body's story.
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Email
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Your email
What is your Name?
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Your answer
What are your Pronouns?
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Your answer
What is your Phone Number for Texting?
Your answer
Please check any of the following that you are interested in:
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Private Movement Coaching/Personal Training (1:1 in gym)
Small Group Training (5 ppl or less) (currently outside at Greenlake, more locations avail)
Virtual/Live Streaming Classes
Pre-recorded Videos via Patreon (monthly subscription)
At Home Workouts/Homework
Lifting Heavy Stuff (weight lifting, kettlebells, etc)
Functional Movement & Mobility Work
Stamina/Endurance Work (cardio, circuit training, etc)
Burlesque Dance Classes (easy to follow choreography, group class)
Burlesque Mentoring/Coaching (1 on 1 or small group options)
Required
What types of movement bring you joy? (For example: I really like wrestling with my dog, walking in the city, dancing, lifting weights and sitting my ass on the sofa)
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Your answer
What types of movement bring you the opposite of joy? Are there things that make you feel frustrated, awkward, uncomfortable, etc? (For example: I don't like bouncing cuz my boobs hurt)
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Your answer
What types of movement does your body currently help you accomplish? (Feel free to explain in PRE/POST COVID-19 terms)
Your answer
How have your movement patterns changed since COVID-19 & Stay at Home orders?
Your answer
Are there any movements that you'd like your body to help you perform more efficiently or at all?
Your answer
Are there any movements that your body isn't comfortable with? (Different from the frustrated/no joy question: think about physical comfort more than the mental feeling)
Your answer
Are any of the above movements due to physical injury and/or body limitations? (please describe in detail)
Your answer
Check all that currently apply to you: "I am (a)"
Athlete/Sports-oriented person
Artist/Dancer
Gym-goer/Weight lifter
Burlesque Performer
HIker/Activity-based Mover
Super bendy
Stiff as a board
Other:
Check all that are currently important to you:
Strength
Speed
Balance
Core Strength
Posture
Proper Form
Scale/Measurements
How I think my body looks
How others think my body looks
How I feel about my body
How others feel about my body
Mind-Body connection
Mental Health
Meditation
Being/Feeling Graceful
Being/Feeling Powerful
Being able to balance on 1 leg
Being able to do a pushup
Being able to do a pullup
Being able to do & hold a squat
Being able to touch toes
Being able to do a backbend
Other:
Are there any obstacles (aside from current state of the world) that are keeping you from fulling exploring & pursuing movement? (mental, physical, time, monetary, etc.)
Your answer
Do you have past or current physical injuries? (If so, please describe in as much detail as you are comfortable. We can discuss in person too if a better choice for you.)
Your answer
Do you have past or current mental trauma you feel I should know about? (If so, you are more than welcome to provide details here to the extent you are comfortable. We can discuss details in person too if a better choice for you... or not at all. I believe wholeheartedly in the mind-body connection and so this info can be helpful in understanding your movement patterns.)
Your answer
Is there anything else you'd like me to know about you?
Your answer
How motivated are you to get started?
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Very. I'd like to set something up within the next week or two.
Moderately. Sometime this month sounds good.
Exploring options. Nothing concrete in terms of scheduling.
Other:
Send me a copy of my responses.
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