Health Questionnaire

Make sure you’ve filled out a Health Questionnaire before joining any of Rebecca’s classes. All information given will be treated in strict confidence and stored in accordance with the Data Protection legislation.

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Please TICK any health conditions below that apply to you, then give details in the ‘more details’ box.
If none are applicable tick ‘None of the above’. (required)

I have answered honestly & to the best of my knowledge. I agree to update my teacher of any medical changes. I agree to take full responsibility for my health during the Pilates/Yoga classes, including any injuries.