ERINFINKELSTEIN96355 Email Marketing -

Sound Movement Service LLC intake form for adults

Contact Info

Date *

Your Full Name *

birthday *

Email *

Phone *

Address *

Emergency Contact Name *

Emergency Email

Emergency Phone

Have you done Feldenkrais® before? *

What brings you to the Feldenkrais Method? How do you hope this will help? *

We don't treat illness but rather create options to learn how to move and live in a more wholesome way. Within this context, what limitations are you experiencing that you'd like to change/ *

Hospitalizations and/or surgeries? *

What movements or situations have you been told not to do by a medical professional? *

What brings you joy? *

Are there any triggering aversions to avoid? *

What therapies are you doing at this time? *

What therapies have you stopped, and why? *

Who referred you to me, or where did you hear about my services? I like to send a thank you. *

Terms and Conditions

Select the lists you wish to subscribe to *

Feldenkrais Newsletter from Sound Movement Services

Sound Movement Services Kids

By clicking below, you agree that the Feldenkrais Method® is an educational tool to increase somatically based functional movement, and does not replace medical advice. You are consenting to verbal and touch based Functional Integration® for your child. While this is the most gentle tool available, there is always an element of risk or injury to any movement modality, and you hereby release Sound Movement Services from any liability.

Consent and release of liability *

I Agree

By clicking below, you agree to the following cancelation policy: Lessons that are canceled in less than 48 hours (two full days) for any reasons other than illness or death in the family, will pay the full session fee. I often have a waiting list and families coming from out of town for lessons, so I want to ensure all people get the times they need.

Cancelation Policy *

I agree

Anything else you'd like me to know?

Thanks for your submission. After clicking the button below, you'll receive an email with directions. The next page will direct you to my booking site. If you are interested in a 6 - 10 lesson intensive, call or email me directly to book: info@erinfinkelstein.com, 916-296-9068. Best, Erin Finkelstein