Private session intake

Tell us a little about you, and we'll pair you with the instructor and package that fit you best.

Contact information

Full name

Phone

Best way to reach you

Email Text Call

Your Pilates background

Have you done Pilates before?

Never A little Regularly

If yes, what kind? (optional)

Mat, reformer, Cadillac, etc.

Current activity level

Mostly sedentary Lightly active Very active

Your goals

What brings you to Véra? (select all that apply)

Build strength Improve flexibility Better posture Injury recovery or rehab Pre or postnatal Stress relief Event or sport prep Something else

Anything specific you're working toward? (optional)

Health & movement

Any injuries, surgeries, or health conditions we should know about?

Are you currently pregnant or postpartum?

Yes No Prefer not to say

Has a doctor or physical therapist told you to avoid any specific movements? (optional)

Scheduling & package

Sessions per week you're hoping for

1 2 3+ Not sure

What times generally work best? (select all that apply)

Mornings Midday Evenings

Which days work best? (optional)

Interested in a private session package?

Yes, I know how many Yes, help me choose Not sure yet

If you have a number of sessions in mind, share it here (optional)

Instructor fit

Do you have a preference in coaching style?

High-energy and motivating Gentle and methodical No preference

Anything else your instructor should know before your first session? (optional)

Thanks — your email app should be opening now with everything filled in. Just hit send.

Your answers go straight to Véra and stay between you and your instructor.

1322 Lake Washington Blvd N, Suite 3

Renton, WA 98056

hello@verawellnessclub.com
(206)883-1838