Client Enquiry Form
Name
First Name
Last Name
Age
Date of Birth
-
Day
-
Month
Year
Date
Gender
Male
Female
Other
Phone Number
Format: (000) 000-0000.
Email
example@example.com
What’s your main health or fitness goal right now?
Feel stronger & more toned
Improve Energy
Balance hormones / thyroid
Support fertility or pregnancy
Lose weight / feel confident
Other (please specify)
Other
What areas are you most interested in working on?
Pilates (reformer)
Pilates (mat)
Nutrition coaching
Pre/postnatal support
Hormone or thyroid health
Lifestyle & habit coaching
What would you like to achieve over the next 3–6 months?
How active are you currently?
Regular workouts (3+ per week)
Somewhat active
Not much right now
Have you done Pilates before?
Yes, reformer
Yes, mat
Both
Not yet but keen to try
Not interested
Do you have any injuries, pain, or medical conditions that affect your training?
What’s your biggest challenge with food or nutrition?
Staying consistent
Not sure what to eat
Cravings / energy crashes
Planning & meal prep
How do you prefer your sessions or coaching?
In-person
Online
On your own
A mix
What kind of support are you looking for?
Ongoing 1:1 coaching
A short program (4–6 weeks)
One-time plan or consultation
Not sure yet – happy to discuss
When are you hoping to start?
ASAP
Within a few weeks
Next month
Just researching for now
Anything else you’d like me to know?
Once you submit this form, I’ll be in touch to organise a free initial chat (phone or Zoom) so we can go through your goals and plan the best starting point for you.
Submit
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