top of page

About
- Meet The Team
Classes
Pricing & Packs
Contact Us
More

Use tab to navigate through the menu items.

Book Now

PAR-Q

(Physical Activity Readiness Questionnaire)

Please complete this PAR-Q prior to attending your first reformer pilates class.

First name*

Last name*

Email*

Birthday*

Day

Month

Year

Address

Phone

Today's Date*

Day

Month

Year

Have you been to a reformer pilates class before?

Yes

No

Do you suffer from or have you been diagnosed with the following * tick if applicable *

Heart problems / cardiac

Comments

High Blood Pressure

Comments

Astma/Breathing Problems

Comments

Bone/Joint Issues

Comments

Epilepsy

Comments

Longstanding conditions eg: MS, ME, Parkinsons

Comments

Mental Health

Comments

Digestive Complaints

Comments

Migraine/headaches

Comments

Any form of hypermobility

Comments

Have you ever been diagnosed with a form of cancer?*

Are you or could you be pregnant? *

Have you ever had any muscle/ligament/tendon injuries?*

Do you have any other undisclosed health conditions OR injuries we should know about?*

Emergency Contact Name*

Relationship*

Phone*

bottom of page

PAR-Q

(Physical Activity Readiness Questionnaire)

Do you suffer from or have you been diagnosed with the following * tick if applicable *

About Us

Support

Legal