Health Questionnaire and Assumption of Risk

I would really appreciate if you could complete this questionnaire. It will take between
5-10 minutes of your time. The information will be used to make the time we spend together as fruitful as possible enabling me to tailor the class to suit your individual needs but also the needs of the group.

Assumption of Risk Statement

By submitting this form I hereby state that I have read, understood and answered honestly the questions below. I confirm that I wish to participate in this/these exercise session(s) with VFIT (Live/Online classes), and accept any risks/harm to myself while partaking in this/these class(es). I also confirm that I will inform the teacher if any of my information changes.

If you tick more than one box below, or if you are experiencing any difficulties because of your pregnancy (such as dizziness, back ache, blood pressure problems etc) please contact your Doctor/Midwife before joining any classes.

Some hints & tips to get the most out of your class:

* Try not to have a big meal two hours prior to the class.
* Wear loose, flowing clothes.
* Drink plenty of water during the class.
* Have fun, laugh and play.

If at anytime you feel unwell during class, please stop & seek medical advise.

Otherwise have fun, work to the best of your ability & be sensitive to others!!!


Studio Address:
Wijndaelerweg 9a
2554 BZ
Den Haag

T: 06 49 22 81 63
E: [email protected]