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Meditation by the Beach

Your Health

YOUR HEALTH

Please advise me of any injuries or health conditions you have on the medical form below, before attending your first session with me.

Including but not exclusively any joint or muscular conditions, mobility or balance issues, heart condition and high or low blood pressure. Or any current medical conditi
on or injury.

Please be assured that this information will be kept confidential. The information provided by you allows me to advise you appropriately.

Please check with your Doctor before starting any new exercise program or treatment to make sure it is suitable for you. Amanda

Medical Questionnaire

Please fill out the following form to help us understand your physical condition.

At Yoga & Pilates Live we take your health seriously. Please consult your doctor before you start any new exercise program.

Have you been hospitalized in the last 12 months?
Are you currently suffering from a medical condition, illness, or injury?

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Sunset

Contact Us

m: 07961667220 

 

e: amanda@yogaandpilateslive.com

Between 10am - 6pm Monday to Friday

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