Pilates4you Studio | PAR-Q | - Pilates4you Studio

Welcome
- Our Services >
About Us
- Serap
- Callan
- Ashley
- Moon
Book online
Prices
Testimonials
Blog
Contact Us
Therapy room to rent
Pilates4you Academy

Welcome
- Our Services >
About Us
- Serap
- Callan
- Ashley
- Moon
Book online
Prices
Testimonials
Blog
Contact Us
Therapy room to rent
Pilates4you Academy

Pilates4you Studio

Physical Activity Readiness Questionnaire (PAR-Q)

Welcome to Pilates4you Studio!
Before starting your sessions with us, we kindly ask you to complete this PAR-Q. This form helps us ensure that your participation in our classes is safe and suited to your health needs.

Personal Information

* Indicates required field

Name *

First

Last

Date of Birth *

E-mail *

Contact Number *

Emergency Contact Information

Emergency Contact Name *

First

Last

Emergency Contact Number *

Health Questionnaire
Please read carefully the questions below and answer honestly, as you may have to seek guidance from your doctor as to whether Pilates or Yoga is suitable for you.

1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? *

Yes No

2. Do you have high cholesteral? *

Yes No

3. Do you suffer from epilepsy? *

Yes No

4. Do you have any lung problems? *

Yes No

5. Do you have any bone or joint problems, such as issues with your back, knee, or hip? *

Yes No

6. Do you have diabetes? *

Yes No

8. Do you have arthritis? *

Yes No

9. Have you been diagnosed with osteoporosis? *

Yes No

10. Do you have his or low blood pressure? *

Yes No

11. Is your doctor currently prescribing medication (e.g., water pills for blood pressure or heart condition? *

Yes No

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

Yes No

Additional Questions

1. Are you currently pregnant or have you given birth in the last 12 months? *

Yes No

2. Do you have any specific goals or concerns you would like us to be aware of? *

3. How did you hear about our studio? *

Agreement and Acceptance

Terms and Conditions, Liability Waiver, Health & Safety Policy, and Cancellation Policy *

Yes

By ticking the box and signing below, I acknowledge that I have read, understood, and agree to the following:

Terms and Conditions
Liability Waiver
Health and Safety Guidelines
Cancellation Policy

I declare that the information provided here is accurate and complete to the best of my knowledge.

Signature *

Please type your name as it is equivalent to signature

Date *

Important Note: If you answered 'Yes' to any health-related questions, consult your doctor prior to engaging in physical activity with us. This form is not intended to replace or acts medical advice.

Submit

Proudly powered by Weebly

Pilates4you Studio
[email protected]
07723010213
2-3 Inverness Mews
W2 3JQ
Copyright © 2026 Pilates4you . All Rights Reserved
Terms and conditions.