Intro Offer

New Client Special:

Please fill out this form to help me understand your body and your goals better.

After I receive this form, I will get in touch to set up an appointment with you

Looking forward to meeting you.

- Michèle

Name

First Name

Last Name

Phone number

Date of Birth

YYYY

Any complaints about yourself physically?

Do you have any past injuries?

Any movements cause you pain?

Current level of activity?

What are your goals and expectations?