We'd Love to Hear From You Contact us!inbalancepilatestucson@gmail.com Name * First Name Last Name Email * Message for Us! * Thank you! Understanding Your Needs Private Pilates Client Information Name * First Name Last Name Email * Phone (###) ### #### Primary Reason for Seeking Pilates * Current Injuries or Conditions * Chronic Conditions * Are you currently pregnant or have you recently given birth? * Have you done Pilates before? * Yes No What other forms of exercise do you currently participate in? * What is your current activity level? * Sedentary Lightly Active Moderately Active Very Active Do you have any limitations or restrictions to movement? * What are your primary goals for starting Pilates? Improve Strength, Increase Flexibility, Pain Management, Improve Posture, Rehabilitation, General Fitness, Stress Reduction, Other.. What specific outcomes are you hoping to achieve through Pilates? * Thank you! Name * First Name Last Name Email * Phone (###) ### #### How did you hear about us? Family or Friend Social Media Message * Thank you!