I understand that this Pilates programme has been designed to be suitable for a group setting and is not an individualised exercise programme. Therefore I understand that if I perform any of the exercises outside the class, then I do so at my own risk. 

I fully understand that any form of exercise can lead to injury. These can include abnormal blood pressure, fainting, and irregular, fast or slow heart rhythm and in rare instances a heart attack, stroke or death.  I understand it is impossible to predict the body’s exact response to exercise but every effort will be made to minimise these risks through evaluating preliminary information relating to the questionnaire and observation during exercise.

I understand and agree that the therapist or I can stop the exercise session at any time if I am or are seen to be experiencing any symptoms of fatigue or discomfort.

I understand that Body&Soul Pilates is committed to protecting and respecting my privacy.  My personal and sensitive information will be stored on secure servers that are password protected so only Body&Soul Pilates will be able to access my records.  By submitting my personal data, I agree to this storing of information.  I understand that I have the right to obtain a copy of the personal data held for me.  I also have the right to require the correction of errors in the personal data held for me if it is inaccurate or incomplete and can require the deletion of my personal data at any time.  I understand that my personal date will not be shared with a third party without my written consent.

I declare that I have read this questionnaire thoroughly and understand its content. I have completed this questionnaire to the best of my knowledge and have not withheld any specific information requested by it. Any questions I have had regarding the contents and purpose of this medical questionnaire have been answered to my full satisfaction.