ALL guests must complete the questionnaire prior to attending and participating in any exercise.

    Your Personal Details

    Name & surname

    Your email

    Your phone number

    Your date of birth

    Your occupation


    Your address

    Does your work/sport involve any of the following?

    Sitting for long periodsDrivingBendingLifting heavy weightStandingAny other repetitive action

    Emergency Contact Details

    Full name of emergency contact

    Number of emergency contact

    Their relationship to you

    Please answer the following questions as honestly as you can

    Do you have any heart defects or conditions?

    Do you feel pain in your chest when you exercise?

    Are you or could you be pregnant?

    Do you suffer with headaches?

    Do you have high or low blood pressure?

    Do you suffer from asthma, diabetes or epilepsy?

    Do you ever lose balance due to dizziness or lose consciousness?

    Do you have arthritic joints or osteoporosis?

    Do you suffer from back or neck pain?

    Are there any movements that cause you pain?

    Are you currently taking any medication?

    Do you know of any other reason why you should not do physical activity?

    By submitting this form you agree to our Terms & Conditions and Privacy Policy.