PILATES SCREENING

1.Name, Age & Occupation(Required.)
2.Are you currently physically active? If so, please describe activity and frequency.(Required.)
3.Do you have any general health issues?(Required.)
4.Are you currently pregnant or post natal? ( no miminum time) If so, please describe type of birth/s and any issues you may have.
5.Do you suffer from any pelvic floor weakness symptoms?(Required.)
6.Phone/ E mail(Required.)
7.Emergency Contact Name & Number(Required.)
8.Monthly Subscription or PAYG(Required.)