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Health Questionnaire

Please complete and submit the following health questionnaire before attending your first session. Please note there is a 24 hour cancellation policy and missed sessions are charged for in full.

Health declaration

Please fill out the following form.

Date of birth
Day
Month
Year
Have you had any operations in the last 5 years?
No
Yes
Are you suffering from a medical condition, illness or injury?
No
Yes
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