top of page

HEALTH FORM

Please complete my Health Form below before attending your first class with me.

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 condition 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?

Thanks for submitting!

bottom of page