To book your place contact Tracey now by calling 07760 176131

To book your place contact Tracey now by calling 07760 176131

Health Questionnaire

Keeping you safe and sound

Your safety and comfort is important to us so to ensure you are not at risk due to any injuries or conditions that you may have, please fill in the form below or download our printable version and return it to us.

Your details
Health information
1. Do you suffer from any heart troubles?
2. Do you have high or low blood pressure?
3. Do you often feel faint or have spells of severe dizziness?
4. Do you suffer with any aches/pains in your bones/joints?
5. Do you suffer with from back pain?
6. Do you take any form of medication?
7. Have you had a recent injuries or operations?
8. Are you pregnant or have recently had a baby?
9. Please let us know of any conditions that you have been diagnosed with or been treated for by a physician
Autoreply
From
Subject
HTML Body

Disclaimer

By submitting this form, you willingly participate in the practical exercises at your own risk. You confirm that have no physical restrictions, disabilities or any predisposition to sickness or injury that may be aggravated or adversely affected as a result of your participation. You take full responsibility for any injury, loss or damage to your person or property that may arise directly or indirectly from your participation in the exercises. You will not seek to penalise, prosecute or claim compensation from the company for any injury, loss or damage.

If you prefer, you may download the form to print and fill in.

Download
0

Health Questionnaire

Keeping you safe and sound

Your safety and comfort is important to us so to ensure you are not at risk due to any injuries or conditions that you may have, please fill in the form below or download our printable version and return it to us.

Your confidential health information

Your details
Health information
1. Do you suffer from any heart troubles?
2. Do you have high or low blood pressure?
3. Do you often feel faint or have spells of severe dizziness?
4. Do you suffer with any aches/pains in your bones/joints?
5. Do you suffer with from back pain?
6. Do you take any form of medication?
7. Have you had a recent injuries or operations?
8. Are you pregnant or have recently had a baby?
9. Please let us know of any conditions that you have been diagnosed with or been treated for by a physician
Autoreply
From
Subject
HTML Body

Disclaimer

By submitting this form, you willingly participate in the practical exercises at your own risk. You confirm that have no physical restrictions, disabilities or any predisposition to sickness or injury that may be aggravated or adversely affected as a result of your participation. You take full responsibility for any injury, loss or damage to your person or property that may arise directly or indirectly from your participation in the exercises. You will not seek to penalise, prosecute or claim compensation from the company for any injury, loss or damage.

If you prefer, you may download the form to print and fill in.

Download
0

"The classes are brilliant and I feel so much better after attending, I would recommend Tracey to anyone"

Interested in joining a class?

Call Tracey for more information or book your class now by using our online booking system.

To book your place contact Tracey now by calling 07760 176131

To book your place contact Tracey now by calling 07760 176131.