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Health Questionnaire

Please complete this form before joining a session for the first time.

Do you have physical handicaps?
Do you have hypertension or raised blood pressure?
Do you have any conditions associated with heart disease?
Do you have epilepsy or respiratory trouble?
Do you suffer from back trouble?
Do you have arthritis or joint stiffness?
Are you pregnant or have recently had a baby?
Do you have any past injuries that are still affecting you?
Have you had an operation in the last 12 months?
Are you taking any medication?
Do you suffer from stress?
Do you smoke?

Thanks for submitting!

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