Before your first session

Three minutes of questions, required before Tuesday at 11:30am. Use the same email address as your paid booking so your clearance can be verified. No verified PAR-Q means no session. Your health answers are used for class safety only, and seen by Brad alone.

Full name

Email address

Contact phone number

Emergency contact: name and number

Do you feel pain in your chest at rest, during daily activities, or when you do physical activity?

NoYes

Do you lose your balance because of dizziness, or do you ever lose consciousness?

NoYes

Do you have a bone, joint, or spinal problem (for example a slipped disc) that could be made worse by a change in physical activity?

NoYes

Do you currently take medication for high blood pressure or a heart condition?

NoYes

Do you have asthma, or any other breathing condition?

NoYes

Are you currently pregnant, or have you given birth in the last six months?

NoYes

Has your doctor ever said that you have a heart condition?

NoYes

Current climbing injuries, or areas of tightness or pain, you would like Brad to know about (if none, type none)

I confirm that my answers to the health questions are accurate. I understand that Pilates involves physical exertion and I agree to listen to my body and practise safely. I acknowledge that I am participating at my own risk. I agree to Pivot & Plane Ltd recording this screening and storing it securely in accordance with UK GDPR, solely for class safety.

How we use your data