Your Name (required)
Your Phone Number
Your Mobile Number
Your Email (required)
Have you done Pilates Before?
Which Class are you enrolling for?
PilatesMother & BabyPregnancyRunning
Has your Doctor ever said that you have any sort of heart trouble or defect?
Have you ever been told that you have arthritic joints or any bone or joint problem that may be made worse by exercise?
Is your blood pressure
High Low Normal
Are you pregnant or have you had a baby in the last 12 months?
If you have children, have you had a caesarean?
Have you had any operations or injuries in the last year? If so, please explain if relevant.
Do you suffer from backache? If so, please explain.
Have you ever been given any remedial exercises? If so, can you briefly describe them?
Have you been referred by a GP, Physiotherapist or any other practitioner.
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