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Online Booking

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Are you currently under GP or Physio's supervision?
Yes
No
Are you currently recuperating from recent illness or operation?
Yes
No
Are you currently taking any medication?
Yes
No
Do you suffer from back problems?
Yes
No
Do you suffer from any pain or restricted movement in any other joints/bones?
Yes
No
Do you suffer from any of the following;

If you have answered Yes to any of the above questions on this page, you may wish to consult your GP before commencing an exercise program Otherwise, be assured that Pilates will be beneficial to your general health, mobility and flexibility.


The time you have taken to complete this screening form will enable your exercise program to be structured around your current health and capabilities, allowing for a more tailored approach to your sessions. Thank you.


Please read through your responses, and sign the client declaration below-


Note: This physical activity clearance is valid for a maximum of 12 months from the date it is completed and becomes invalid if your condition changes so that you would answer YES to any of the questions. If this happens, please inform me. 


I declare that to the best of my knowledge, the information I have given is correct, and that I am willing to participate in this exercise programme. 

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