Request edit access
Flexxd Intake
Thank you for being a new Flexxd student and client. Whether you've been with me for years or brand new, I'll be requiring that everyone has completed this intake form, which corresponds with the start of the new booking system.

I take your health and wellbeing seriously. Please confirm the following so there is a record of your current status and we can work with you appropriately. Most questions are multiple choice, and should take about 4-7 minutes to complete.

There are 4 parts:

1. Medical Readiness - 9-12 questions

2. Health and Fitness History - 10-15 questions

3. Emergency Contact and Guardianship - 3 questions

4. Informed Consent Waiver - 10 questions

Should you have any questions or require assistance, please reach out to Fiona at or on 0425 770 464.

Your secure email address is your digital signature verifying your identity, and should be the same email used when booking on the Flexxd site for identification purposes.
Email address *
Birthdate *
Home Street Address
Home Suburb
Home Post Code
Never submit passwords through Google Forms.
This form was created inside of Report Abuse