Health Questionnaire

Health Questionnaire

Health Questionnaire

Please answer all questions.

If yes, please add details in the box at the end.
If yes, please add details in the box at the end.
If yes, please add details in the box at the end.
If yes, please add details in the box at the end.
If yes, please add details in the box at the end.
If yes, please add details in the box at the end.
If yes, please add details in the box at the end.
If yes, please add details in the box at the end.
If yes, please add details in the box at the end.
If yes, please add details in the box at the end.
If yes, please add details in the box at the end.

WAIVER: You hereby agree that you are fit to practice Pilates. You are not currently suffering from any medical condition that prevents you from taking part in the Pilates class. You are not pregnant. You have taken the appropriate medical advice for any injuries/medical conditions past or present & that you have clearance from a medical professional that you can take part in an online Pilates class.

Waiver

Confidentiality: Information you enter here is sent to us in a password protected file then securely stored in Dropbox. Signed copies of the form are filed under lock and key. For more details see our Privacy and Cookies page.

  • My reformer 1:1s with Alison are a pleasure every week. She tailors my lesson to my own body and needs and ensures that there is a new challenge each time. I always come away feeling refreshed and energised with a sense of achievement.

    Hannah

  • I’ve been attending Alison’s mat classes for a couple of years and her knowledge and enthusiasm keeps me coming back for more……even when extreme quad stretches are on the cards!

    Pilates has helped my back strength and posture so much, and I find it mentally energising too. I always look forward to my class.

    Laura