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Pilates Health Questionnaire

Please fill out the following form to help us understand your physical condition.

Do you have any of the following health conditions: Arthritic joints, bowel or bladder problems, cancer, heart/blood pressure problems, angina, diabetes, low back pain, neurological conditions/seizures, osteoporosis/osteopenia, lung conditions, circulatory conditions, prolapsed/buldging disc in the spine
Do you have any other underlying health conditions/injuries/illnesses, could currently or recently have been pregnant, or are you taking any medications?

Thanks for submitting!

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