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Health Questionnaire
Regular physical activity is fun and healthy. Being more active is very safe for most people however the questions below will highlight if you should be consulting a doctor before taking part in a Pilates exercise class.
Common sense is always a good guide but please read the questions below carefully and answer honestly:
If you have answered ‘YES’ to any of the above please provide details.
Informed Consent
I, the undersigned, do hereby acknowledge:
My consent to participate in an exercise programme designed by a trained fitness consultant.
My understanding is that exercises will consist of one or more of the following: free body cardiovascular, resistant (strength/endurance) and flexibility
I fully appreciate that there are potential risks involved in participation, e.g. episodes of transient light-headedness or possibly loss of consciousness (highly unlikely) and I assume wilfully these risks
I understand that I may stop or delay any exercise if I so desire and that the class may be terminated by the instructor upon observation of any symptoms of undue distress or abnormal response.
My understanding is that I may ask any questions or request further explanation or information about the procedures at any time before, during and after the training.
That I have read, understood and completed the medical screening questionnaire and obtained medical clearance if necessary.
I hereby sign below to confirm that I provide full consent to participate in the proposed activities and that, by doing so, I accept the risks identified above. I also understand that I may withdraw from the class at any time.
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