Pre-Exercise Questions
Please take a minute to fill in the following information for our physical activity lifestyle questionnaire. Please note if you are taking part in our reformer classes our equipment is checked before each client uses it. Our Pilates is practiced under a qualified instructor with close supervision, to limit the number of Pilates-related accidents. However, like every other exercise activity, Pilates has risks, so please be honest when completing this form and ask in advance if you have any concerns using our equipment. (If you are taking part in our reformer sessions please take care when using the machines. Please also remove any jewellery that may get caught and make sure your hair is up. Please do not wear any item of clothing with zips as these can break the board fabric.) Our machines are checked on a regular basis, and we will offer safety advice throughout.
Full name
Email
Phone Number
Has your doctor said you have a heart condition and that you should only do physical activity recommended by the doctor?
Yes
No
Do you feel pain in your chest when exercising?
Yes
No
Do you lose balance due to dizziness?
Yes
No
Do you have bone or joint problems?
Yes
No
Are you on any medication?
Yes
No
Do you participate in any other exercise?
Yes (please state)
No
How old are you?
Your Signature
*
Clear
I agree to the terms & conditions
How did you hear about us?
Do you have any other conditions or injuries that we should know about before you do exercise?
Last Name
I want to subscribe to the mailing list.
Submit