Personal Details & Health Questionnaire

Informed Consent

All classes are led by Chartered Physiotherapists who are trained in exercise rehabilitation and Pilates.

For group Pilates classes and workshops, you MUST be able to get up and down from the floor independently.

All exercises will begin at a beginners level and will advance depending on your ability and fitness level.
It is important that you exercise to you own ability and comfort.

You understand that at any time you feel pain, fatigue, discomfort or light-headiness during the session, you will immediately stop the exercise and inform my teacher.

Whilst every care will be taken, there does exist the possibility of certain dangers when exercising and it is impossible to predict the exact response to exercise. Every effort will be made to minimise risk by evaluation of the health information you give in this questionnaire and by observation during exercising.

You understand that it is your responsibility to follow the teacher's instructions in order to exercise safely. You will listen to your body and rest when needed.

Please let the teacher know if you feel unwell at any point within class.

No Liability can be accepted if:

  • You fail to observe instructions on safety of exercise.
  • Injury is caused by negligence of another class participant.
  • Your doctor/midwife has advised you against exercise on health grounds.


I have answered these questions to the best of my belief and will update the teacher of any changes in my health or if I become pregnant.

I understand that my failure to do so, may post a threat to my health and or physical well being and I hold Sussex Physio Pilates and my teacher, from any liability whatsoever, arising from failure on my part.

By my electronic submission below, I agree to this policy and client agreement. 

Submission of this form in no way guarantees a space in a class, but you will however be added to the waiting list. We will only contact you once a space is available, but please feel free to call for an update.

This information is protected by the Data Protection Act 1998

Please view our Privacy Policy HERE

Please view our Important notes for Group Pilates Classes HERE