Questionnaire:

To best serve you, please take time to fill out the questionnaire below prior to our call. This will allow Amy to curate a plan and workout that best suits your clients Lyme case using the equipment you have access to.

Name

Email Address

Do you have previous experience working with clients who have Lyme Disease? Do you have previous experience working with clients who have Lyme Disease? Yes No

If yes, please describe what approaches you took?

What is the age and gender of your client?

What symptoms does your client currently present with?

How long have you been working with your client?

Does your client have any other medical conditions that would impact their movement?

Please list the types of Pilates equipment you have access to. Please include any props and/or accessories.

5 + 10 =