Your Name (*)
Your Email *
Have you attended Pilates classes before?
Have you any injuries? (Recent or old).
If yes please describe
Do you suffer from back pain?
Do you have any other health concerns?
E.g. Asthma, diabetes, high blood pressure, medications etc.
Are you presently attending a physiotherapist
or another professional regarding treatment?
Are you presently active in any sports or exercise program?
Please tick your preferred method of contact: