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PILATES SCREENING
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1.
Name, Age & Occupation
(Required.)
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2.
Are you currently physically active? If so, please describe activity and frequency.
(Required.)
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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.
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5.
Do you suffer from any pelvic floor weakness symptoms?
(Required.)
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6.
Phone/ E mail
(Required.)
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7.
Emergency Contact Name & Number
(Required.)
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8.
Monthly Subscription or PAYG
(Required.)
Monthly £30 (4 Sessions)
PAYG £10 per session