Physical Assessment Readiness Questionnaire

Please fill out the following form to help us understand your physical condition, so that we can properly look after you.

Have you ever had a heart condition or feel pain in your chest when you do physical exercise?
Do you lose your balance due to dizziness or ever lose consciousness, have a bone or joint problem that coukd be made worse by a change in your physical activity, know a reason why you should not d, illness, or injury or pregnant?

© 2020  Elizabeth Reid, Core Factor Pilates