Student Intake

A movement & health history questionnaire to help me create a focused and satisfying session for you. Please feel free to contact me directly before your session if there's anything else you'd like to share: chantill@skillfulteaching.com Looking forward to working with you soon!

  • Health + Wellness History

  • If you answered yes to any of the previous questions, please specify below (ie. spinal injuries, arthritis, osteoporosis etc. along with location, date diagnosed and so forth).
  • Lifestyle + Movement History

  • Please describe what physical activities you typically engage in and how often. Also, let me know what types of exercise/movement you LOVE most.
  • What kinds of movement have you done? Include sports, hobbies, movement or physicality related to work and play. What would you LOVE to be able to do again?
  • Advocating For Change

  • What would be different in your life if you achieved the changes you desire?
  • Please share something you'd like to change in the short-term (the next 1-3 months) and something in the long-term (the next 6-12 months).