Client Background Information

Date of birth

Do you have any pre-existing medical conditions? If so, please specify.

Have you ever had any injuries related to your muscles, bones, or joints? If yes, please describe.

Are you currently taking any medications? If yes, please list them

Have you ever had surgery? If so, please provide details about the type and date of the surgery.

Do you have any chronic conditions (e.g., diabetes, hypertension, asthma)?

Are you pregnant or have you recently given birth?

Do you experience any pain during physical activities? If yes, please describe the pain and its location.

Have you ever been diagnosed with a spinal condition (e.g., herniated disc, scoliosis)?

Do you suffer from any neurological issues (e.g., migraines, seizures)?

Have you been advised by a healthcare professional to avoid certain exercises or physical activities?

Are there any allergies or sensitivities that we should be aware of?

Do you have a history of cardiovascular problems (e.g., heart disease, arrhythmia)?

How would you rate your overall physical activity level?

Have you participated in Pilates or similar activities before? If so, please describe your experience.