Please select all that apply:
• For any option marked above, please provide details (values, type, duration, severity, or current treatment).
• If you noted a chronic condition, please state if you are under medical supervision or taking specific medication.
Please select all that apply:
• For any option marked above, please provide details (frequency, date of diagnosis, severity, or current medication).
Please select all that apply:
• For any option marked above, please provide specific details (e.g., location, date of injury/diagnosis, severity, or treatment).
• Please indicate if any of the above conditions affect the right or left side (R / L).
• Please note if any of the above has been caused by an accident, providing relevant details.
If you are currently experiencing any of the following symptoms, please mark with an X:
Have you undergone any surgeries? (If yes, please provide a detailed description, the area/location, and the date/year):
Please state any psychological, psychosomatic, or psychiatric conditions you currently face (e.g., severe anxiety, panic attacks, clinical depression, etc.), and specify if you are currently taking any related medication:
(If you are currently pregnant, please state the current week of gestation. If you have given birth, please specify the type of delivery - Vaginal Delivery or C-Section - and the year):
What type of exercise are you currently doing or have you done in the past? (Please state the type of activity and its duration):
What brought you to our studio and what are your main goals from participating in our programs? What would you like to improve or facilitate in your daily life? (e.g., strengthening, injury rehabilitation, posture correction, well-being, etc.):
(e.g., Social Media, Google, walk-in/signage, recommended by a friend /acquaintance):
Declaration & GDPR Consent Form
A) Personal Data Protection Declaration (GDPR):
In accordance with the General Data Protection Regulation (EU) 2016/679 (GDPR), I hereby acknowledge and am informed that Flow Studio Pilates collects and processes my personal data (including sensitive health information) strictly and exclusively for:1. Ensuring the safe design of my exercise programs.
2. Contacting and communicating with me regarding my sessions and scheduling.
My data will remain strictly confidential, securely stored, and will not be transferred or shared with any third parties. I am aware that I reserve the right to access, rectify, or request the deletion of my personal data at any time upon my explicit request.
B) Health Declaration & Liability Waiver:
By signing below, I solemnly declare that the health history information I have provided in this form is entirely accurate, true, and complete. I certify that I am in good physical and mental health condition and do not suffer from any condition that would preclude my participation in physical exercise programs.I have been fully informed of and accept the operating rules and regulations of Flow Studio Pilates. I undertake the obligation to submit a medical certificate certifying my fitness to exercise for the 2026-2027 period as soon as possible. Until its submission, I participate in all programs and classes at my sole and exclusive responsibility, completely releasing the studio and its staff from any and all liability in the event of an injury or aggravation of an existing medical condition.
C) Cancellation & Studio Operations Policy:
To ensure the smooth operation of the studio and out of respect for our instructors and fellow clients on the waiting list, the following cancellation policy strictly applies:• For Tuesday through Saturday classes: Cancellations must be made at least 12 hours prior to the scheduled class time.
• For Monday classes: Cancellations must be made no later than Saturday at 20:00. Cancellations made anytime during Sunday will not be accepted.
• Late Cancellations & No-Shows: If a class is cancelled outside of the timeframes mentioned above, or in the event of a non-appearance (no-show), the class will be fully charged and automatically deducted from your package, regardless of the reason.