Health Form

DISCLAIMER Please read carefully; your submission of this form will be taken to indicate your understanding and acceptance of the following: Please take care when filling in this questionnaire and check the contents are accurate before you submit it. By submitting the questionnaire you are confirming that the contents are true and accurate to the best of your knowledge. Please notify your teacher of any changes to your responses in this healthcare questionnaire before partcipating in classes subsequent to those changes. Please obtain professional or specialist advice from your doctor before partcipating in the class if you are in any doubt. Where possible, the teacher will offer suitable modifications or adjustments and practices to suit different levels of experience and ability. Please note, where you are taking part in a pre-recorded class, you will not be able to request specific adjustments or modifications so please contact the teacher to pre-request or with any questions. Where you are taking part in live-streamed classes, please note that the instructor may not be able to see you at all times. Where you have declared a health condition, please contact the teacher before the class. In all classes whether face to face, live streamed remote or pre-recorded remote, always follow your teacher’s safety instructions and listen to your body. Where a movement or class is beyond your experience or ability, feels too difficult for you, or you experience any discomfort, please do not continue the movement or class.

PILATES & YOGA HEALTH SCREENING QUESTIONNAIRE

Confidential