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Client Information
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What is your first & last name?
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What is your address?
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What is your phone number?
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What goals do you hope to achieve with Soul Led Movement Pilates sessions?
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How many days a week would you like to dedicate to sessions? Which days and times work best?
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Do you have any health issues, injuries or limitations I should be aware of? If yes, please provide additional details below.
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Have you done Pilates and/or yoga before? If so, how was your experience?
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If able to identify, where do you tend to carry your stress in your body? Please explain.
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Do you grind, clench or have TMJ?
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I serve a cup of herbal or fruit tea for you to enjoy after each session. Do you have any food allergies I should be aware of?
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How did you hear about Soul Led Movement?
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Emergency Contact, Relation, Phone Number:
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