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Physical Assessment Readiness Questionnaire

Please complete this online form to help us understand your physical condition, so that Pilates Liz can properly look after you in class. Please give full details and information relevant to your physical health and any past injuries or issues.

If you have any queries, please do not hestitate to contact us via to discuss.

Have you ever had a HEART condition or feel any CHEST PAIN when you do physical exercise? Do you lose your balance due to DIZZINESS or ever LOSE CONCIOUSNESS?
Do you have a BONE or JOINT problem that could worsen by a change in physical activity, have a MUSCULAR ISSUE restricting movement causing pain, discomfort or disturbs sleep or know a reason why you shouldn't exercise due to illness, injury, PREGNANCY? Have you given birth, had a C-section, hysterctomy or ABDOMNIAL SURGERY in last 6 months or hernias? Prescribed BP or ASTHMA medication by GP?

THANK YOU for SUBMITTING YOUR FORM! Your information is kept confidential & in accordance with the CORE FACTOR PILATES Privacy Policy.

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