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Medical Questionnaire

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  • Please provide a contact name and number for use should an emergency arise during a Zoom session.
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  • IMPORTANT: If you answered YES to any of questions above, you are advised to seek medical advice/approval before commencing any exercise or exercise programme. Please note that taking part in the exercises provided by Lucy-Pilates, on the website or via the Facebook group, should be considered an unsupervised workout and because it is unsupervised, it is NOT suitable for rehabilitation after surgery or injury.


    I have been informed in writing that if I answer YES to any of questions on this questionnaire, I should seek medical advice/approval before commencing any of the exercises offered by Lucy-Pilates via the website or the Facebook Group. If I wish to continue without such advice I do so entirely at my own risk. I confirm that I have read, fully understood and answered the above questions honestly. I understand that Pilates34Tribe cannot be held responsible for any injuries or ill health arising from my participation in the exercise programme. I understand that I will be participating in physical activities that will include Pilates exercises, stretches and strengthening exercises as well as other physical activities which may, or may not, be suitable for me as an individual. I realise that in participating in these activities I may be at risk of injury and even the possibilty of death. I hereby confirm that I am participating voluntarily and agree to exercise with my personal safety as a priority.

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