Experience Wellness

Studio Pilates Health Screening Form

Studio Pilates Health Screening Form

Step 1 of 4

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  • Health Screening Form

    It is vital we know a bit more about you, your goals and your current and previous medical history. It helps us decide on the best options for you and your body, so you get the best results. The more we know about you now, the more time we have for your first session. Please answer each questions as honestly and completely as possible.
  • About you

    Your main contact details
  • Emergency Contact

    Please provide the name, phone numbers and relationship to you of someone we may contact in case of an emergency
  • Name, number and relationship to you: