health questionnaire


    Please fill out the form below before video access is granted


    Do you have any injury, condition, illness or concern, physical, mental or emotional, chronic or acute, Including but not exclusive to: Cardiovascular disease, Osteoporosis, Low bone density, Osteoarthritis, Pelvic floor issues (Hypo/hyper tone, incontinence or prolapse), High blood pressure, An inflammatory condition, Thyroid issues, Premature ovarian insufficiency (POI), Anxiety, Depression, Stress disorder, Mental health diagnoses, Lower back issues, Knee issues, Hip issues, and whether you are in perimenopause or post-menopause.?

    By ticking the box below, I confirm the above statements, and release Niamh Daly and Yinstinct Yoga from any and all liability for unintentional harm, or from blame for damage arising from conditions I have listed or failed to list.

    I recognise that any protocol that involves physical exercise may cause injury and release Niamh Daly and Yinstinct Yoga from any and all liability for injuries incurred when performing exercises as instructed.

    I represent that I am physically fit to participate in yoga/Pilates class(es) and have no medical condition that would prevent my safe participation. If I have any medical conditions or concerns, I have consulted with a healthcare provider and obtained clearance to participate.