Student Questionnaire
Name:
*
Age:
*
Height:
Weight:
E-mail:
*
Phone Number:
*
Type of Lesson
Online
In-person Private
In-person Semi-private
What is your flexibility/physical history?
*
(i.e.: dance, fitness, sports, yoga, etc)
What are your long or short term goals?
*
(i.e.: To get my left split)
Why do you want to train your flexibility/ conditioning?
*
(i.e.: To complement my workout routines. To become a contortionist.)
What do you believe to be your strengths? Weaknesses?
*
(i.e.: I have a flexible back but stiff shoulders.)
Do you have any injuries or medical conditions that may impede your training?
*
Additional notes:
How did you hear about me?
Social Media
Web Search
Flyer
Referral
Other
Optional: photos to demo your flexibility
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