Sequential Stretching™ Client History – Sequential Stretching™

Name *

First

Last

Email *

Phone Number *

List any physical impairments that affect your movement

Any other medical issues we should be aware of?

Do you practice yoga? *

Do you practice Alexander Technique? *

Have you had singing lessons? *

Do you use cannabis (marijuana)? *

Rate your current overall flexibility

Selected Value: 5

(10 is most flexibile, 1 is least flexible)

What parts of your body do you want to work on?

What parts of your body do you want to avoid?