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To ensure your safety and provide the best possible experience, this Health and Safety Questionnaire must be completed before your first class. Thank you for taking a few moments to fill it in.

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Have you suffered from heart trouble?
Are you taking any medication?
Do you suffer from chest pains?
Do you ever have spells of dizziness or feel faint?
Have you ever had asthma, chronic bronchitis or any other chest ailments? High or low blood pressure and/or high cholesterol levels
Do you suffer from back pain or any orthopedic problem?
Do you suffer from migraines or severe headaches?
Are you recuperating from a recent illness/operation or injury?
Do you have any medical condition we should be aware of ?
Are you pregnant?
Do you have any of the following problem areas?
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