Medical form 2021
Please could you complete the attached form before coming to Yoga or Pilates with Sandhya (previously Yoga Keynsham). thank you.
contact no (this is incase of an emergency / cancellation of class etc).
Where do you live?
Longwell Green / Kingswood
Have you attended a class before?
If yes please state how long (weeks, months, years)
once or twice
Yes, 1-12 months
Yes 1-2 years
Yes 2 years+
on and off several years
What do you hope to gain from attending the session/s?
Please list below any medical or physical conditions / weak areas
What's the biggest frustration about your injury / medical condition? (if appropriate)
If you have been to see a chiro / dr / physio regarding an ongoing injury/ condition please give details below
How did you hear about the class
Which class will you be attending?
Monday 5.30 Pilates for back and core strength
Mon 6.45pm Pilates
Tuesday 9.45am Pilates
Wed 9.45 Pilates
Thursday 5.30 Yoga
Wellbeing college course
If you previously attended a class do you have any comments / reviews on the class and how it has benefited you?
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