Specialist in Womens fitness

Simple Everyday Changes for Life

Please complete and return this questionnaire at least 24 hours before you first session.

All information is kept confidentially and is used to ensure that you are safe and ready to participate in class. Please answer questions honestly and with as much detail as you can.

Many Thanks 
General Details
Health Screening

IF YOU HAVE ANSWERED YES TO ONE OR MORE QUESTIONS
Talk to your GP by phone or in person before you start becoming more physically active. Tell your GP about the questionnaire and which questions you have answered YES to.
You may be able to do any activity, or you may need to restrict your activities to those that are safe for you. Talk with your GP about the kinds of activity you wish to participate in & follow their advice.

IF YOU HAVE ANSWERED NO TO ALL OF THE QUESTIONS
You can be reasonably sure that you can start to become more physically active & take part in a suitable exercise programme. Remember to begin slowly and build up gradually.

PLEASE NOTE
If your health changes, please let me know!

Pelvic Health

I hereby confirm that the information stated above is answered to the best of my ability. I further fully understand that thorough and honest responses to these questions are essential to my safety. I undertake to inform my instructor (Natasha Sahota) should any answers to the above information change


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