Personal Health Questionnaire plus COVID Disclaimer

Your Personal Health Questionnaire

Please complete all of the information below, and select submit, prior to attending your class. Thank you.


Your Personal Details

Your Lifestyle

Your Aims

Your Health/Medical Information

(select all that apply)

How did you hear about Intensys Life?

Important Information and Client Release Statement

Important Information and Client Release Statement Ver 1.2

Please advise your instructor before commencing any session, if for any reason, your health or your ability to exercise changes. 

Pilates exercises are very safe, but with all forms of exercise, it is prudent to consult your doctor before starting Pilates sessions.  If you have any doubts about the suitability of the exercises, you should refer back to your medical practitioner. 

The instructor cannot accept liability for personal injury related to participation in a session if:

  • – Your doctor, on health grounds, advised against such exercise        
  • – You fail to observe instruction on safety and technique
  • – Such injury is caused by the negligence of another participant in the class/studio

Exercise should be performed at a pace which feels comfortable for you.  PAIN is the body’s warning system and should NOT BE IGNORED.  Please inform your instructor immediately if you feel any discomfort during a session.   

I understand that Intensys Life Pilates exercises involve hands-on correction and I hereby consent for my instructor to work in this way.  I shall inform the instructor at the start of class if this makes me feel uncomfortable and I am free to request for no hands-on correction.

I confirm that I have read and understood the above advice and the information I have given is correct.   

I willingly participate in the practical exercises at my own risk.  I have no physical restrictions, disabilities or any predisposition to sickness or injury that may be aggravated or adversely affected as a result of my participation.     

I take full responsibility for any injury, loss or damage to my person or property that may arise directly or indirectly from my participation in the exercises.  I will not seek to penalise, prosecute or claim compensation from the coach for any injury, loss or damage. 

I understand that photographs may be taken during classes for promotional purposes, and that I can request not to be included in any photographs. 

COVID Disclaimer

You are attending any of our sessions of your own free will, being aware that despite the fact that we will be taking all reasonable and necessary precautions to keep you safe, there is always the risk that you could contract COVID as a direct or indirect result of your attendance. In those circumstances you agree that you will not hold us responsible in the unfortunate event that you become ill.

As a valued class member, we’ll keep you updated on all our news and offers and any key information about your class or changes thereof.

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I understand that the data on this form will be stored safely and used solely by Intensys Life according to GDPR regulations and for my benefit for as long as I continue to take Pilates sessions or classes with Intensys Life. I understand that I have full access to view what data is held by Intensys Life about me, and that I can ask for this data to be corrected or deleted at any time.