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Client Assessment Form
Please tell me about yourself so I can understand how to help you flourish on your health and fitness journey.*

*All information is kept confidential.

Name *
Your answer
Age *
Your answer
Email *
Your answer
What services are you interested in? *
What is your life like right now?
Please tell me about your work, studies, and life situation.
Your answer
What is the primary purpose of your training? *
Your answer
Do you have any specific movement-related goals?
Your answer
Does your training support other activities, sports, or lifestyle choices? (Dancer, Hiking, Party-Animal, etc.)
I make no judgments about people's choices and want this to support YOUR lifestyle.
Your answer
What is your ideal time of day to move your body?
Every BODY has a different rhythm and I am curious.
What are you hoping to get out of working with me?
Please tell me how I can support you.
Your answer
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