Do you have a heart condition or cardiovascular disorder?
Has a doctor advised you to limit physical activity and only perform the recommended activities by the professional?
Is there any chest pain when your doing any physical activity?
In the past month, did you experience any pain in the chest area when you're not doing anything?
Do you usually lose your balance due to being dizzy or even lose your consciousness?
Are you experiencing bone or joint problems that worsens if you change your physical activity?
Are you currently taking medications for your blood pressure or heart condition?
Are you taking any other medications that may effect your ability to exercise?
Is there any reason why you should not do physical activities?
If you typed yes to any of the above, you must consult a physician and obtain their signed approval to embark on an exercise journey together. (*Only relevant for movement clients)
What are your 3 main goals for our sessions together?
Please give a detailed description of your exercise history.
Please give a detailed description on your history with counselling, somatic therapy, meditation or other healing modalities.
What activities do you love/bring you joy?
What activities do you not love, and why?
Do you have any previous injuries I should know about?
Have you worked with a coach before? If yes, can you tell me a little about the experience, what you liked, didn’t like and what really worked for you.
What modalities are you interested in working on together? Tick all that apply
Are you working with any other professionals (physio, counsellor, massage therapist, medical practitioner) you'd like me to know about.
Please name any past emotional, mental, physical or spiritual trauma that you feel may be currently impacting your life. *Please ensure to only share what feels safe and comfortable for you.
I have a dog, (Scoot) and 2 small cats (Betty-Boop and Smudge) and often have an essential oil diffuser running. Please specify if allergic to either, or any other allergies that may be relevant to in-person sessions.
Anything else I should know, or you’d like to share before we head on this journey together?
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