Client Intake Form Template for Pilates

Use in FirstRep form

Personal Information

Collecting personal information helps tailor the Pilates experience to individual needs.

Aa Name *

Enter your full name

# Age *

Enter your age

Aa Email Address *

Enter your email

Aa Phone Number

Enter your phone number

Fitness Goals

Understanding your goals helps in designing a personalized program.

vv What are your primary fitness goals? *

Select your goals

1-10 How would you rate your current fitness level? *

Rate from 1 to 10

Health and Medical History

Knowing your health background ensures safe practice.

Y/N Do you have any injuries or medical conditions? *

... If yes, please specify:

Describe your condition or injury

Pilates Experience

Understanding your previous experience helps in customizing your sessions.

Y/N Have you practiced Pilates before? *

Aa If yes, for how long?

Duration of practice (e.g., 6 months, 2 years)

vv What type of Pilates have you practiced?

Select your experience

Scheduling Preferences

Collecting your scheduling preferences helps in planning sessions that fit your lifestyle.

vv Preferred days for sessions *

Select your preferred days

v Preferred times for sessions *

Select your preferred time

Equipment Availability

Understanding what equipment you have at home helps in program design.

Y/N Do you have a Pilates mat? *

... Do you have any other Pilates equipment?

List any other equipment (e.g., resistance bands, stability ball)

Feedback and Expectations

Gathering your feedback allows us to meet your expectations effectively.

... What do you hope to achieve from Pilates? *

Describe your expectations

... Any additional comments or questions?

Your comments

Why Use This Template

Customized Programs

This form helps create tailored Pilates programs based on individual goals and backgrounds.

Enhances Communication

Facilitates better communication between the coach and client regarding fitness needs.

How to Use

Download the form and fill it out before your first session.

Submit the completed form to your instructor for review.

Customization Tips

Adjust field options based on common client demographics.
Include specific questions tailored to rehabilitation clients.
Add a section for client testimonials or success stories.

Build and send pilates templates digitally with FirstRep. Free for up to 3 clients.

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Frequently Asked Questions

What should I bring to my Pilates session?

Bring a water bottle, comfortable clothing, and your completed intake form to your first session.

How often should I practice Pilates?

For best results, aim for at least 2-3 sessions per week, but your instructor can provide personalized recommendations.