Please fill out the following
Health History Questionnaire.
Answering all questions honestly.
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v

PLEASE NOTE:  If you answered YES to any of questions 1-13, you are advised to seek medical advice/approval before commencing an exercise class or consult further with your instructor. 

By submitting this form you agree that you have been informed both verbally and in writing that if I answer YES to any of questions 1-12 of this questionnaire, you should seek medical advice/approval before commencing an exercise class.  

If you wish to continue without such advice you do so entirely at your own risk.