Venue Health Screening Form
Medical history (do you have any of the following?)
Would you find any of the following positions uncomfortable to be in during class?
Disclaimer and consent
Please read this pilates participation informed consent thoroughly and sign below.
I have answered these questions to the best of my ability and will update my instructor of any changes to my health or if I become pregnant. I understand that my failure to give any updates on my health may pose a risk to my personal wellbeing at class.
All exercises will start at the beginners level and will build depending on your ability, health and control. It is important that you exercise to your own ability and comfort level. Whilst every care will be taken, there does exist the possibility of certain dangers when exercising and it is impossible to predict the exact response to exercise. Every effort will be made to minimise risk by evaluation of the health information you have given in this questionnaire. You understand that it is your responsibility to follow the teacher’s instructions and modifications in order to exercise safely. You also have the individual responsibility to stop any exercise because of signs of fatigue, excessive strain or discomfort or at any time you wish. Please also do let your class instructor know if you have experienced any problems during your class or have felt unwell or pain with any of the exercises.
No liability can be accepted if you are doing this type of exercise against the medical advice of a doctor or another health professional.
By submitting this online health screening form, I thereby agree to all sections in this disclaimer.