LAURA SIFUENTEZ

Change Your Body. Change Your Life.

ABOUT
HOME
BOOK A SESSION
NEW CLASSES
CONTACT
LET'S NERD OUT- Articles
THE MORE YOU KNOW- Blog

teaching%20class%201%20copy_edited_edited.jpg

Hi everyone. Thank you so much for being apart of the trial workshop.

This trial workshop is based on helping dancers learn about how to take are of their bodies and prevent injury with a recovery program they can develop for themselves. Please fill out the form below to the best of your ability. The questionnaire will help me to get a better of idea where professional dancers are in their journey of self care and injury prevention methods and the health intake section helps me to make sure all exercise is done safely to fit your bodies needs. Thank you!

Please fill out form below.

Client Information

First Name

Last Name

Questionnaire

Please describe any cool down/ recovery routine you currently have for after class/rehearsal/post performance.

Please describe any background/knowledge you have in anatomy.

Please list any cross training you do to supplement your classes and rehearsal.

What type of mobility training or stretching do you do?

Do you get any manual body work on a regular basis? ( exp. Massage/acupuncture/myofascial release/PT) If so please describe.

Are there any questions you have about your body and how to train it for performace, flexibility strength, recovery or anything else?

Health History

Do you currently have pain ? *

Yes

Please check boxes of areas where you've had any past or recent injures.

Neck

Shoulder and or Arm

Spine ( Herniated disc, Stenosis etc.)

Hips

Knee

Foot

Are any of your injuries reoccuring? If so, please list which ones.

If so, please describe where the is pain located and what are you currently doing to manage it?

Please describe injuries of areas checked.

Do you have any herniated or bluging discs (currently or in the past), if so describe between which vertebre or area.

Do you have a hip replacement ? *

Yes

If so, which side ?

Do you have any spinal fusions? *

Yes

If so, please describe where.

Do you have Scoliosis? If so please give detail. S curve? C curve?

Please list all past or recent surgeries. If you have none type N/A.

Are you pregnant? Or think you could be? These exercises should not be done if pregnant. *

Yes

Terms and Conditions

I agree that the health intake form is complete to the best of my knowledge.

I understand that If I have pain, injury, an existing medical condition, or have undergone recent surgery, I will get clearance to exercise from my physician before resuming activity with Laura Sifuentez.

I understand that if I experience pain , I will stop doing the exercise immediately and Laura Sifuentez will assume no responsibility for injury.

I accept terms and conditions.

Thank you for submitting.

Stay in the loop!

All set, talk soon!

Laura Sifuentez is a Pilates Instructor, ELDOA™ Trainer, Feet-ness Instructor, wellness professional based in NYC and offering services online worldwide. Laura offers private sessions, in-person sessions and virtual sessions as well as customized movement programs ideal for those with injury, chronic pain, Gait analysis and trouble shooting, arthritis, scoliosis, labral tears, joint dysfunction, joint pain, herniated discs, back pain, pregnancy, post-natal, surgery recovery & sports recovery. Laura works with women, men, athletes, dancers, elderly and persons of all physical and movement abilities.