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YOGA CLASS
Thank you for your interest in Healthworks Yoga Classes. Please read and complete the following questionnaire and sign the form below.
Thank you for your interest in Healthworks Yoga Classes. Please read and complete the following questionnaire and sign the form below.
Field is required!
Field is required!
Full Name
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Email address
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Field is required!
Is this your first experience with this type of class?
Yes
No
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Field is required!
Are you currently taking any prescribed medication?
Yes
No
Field is required!
Field is required!
Please specify medication
[{"field":"{medication}","logic":"contains","value":"Yes","and_method":"","field_and":"","logic_and":"","value_and":""}]
Field is required!
Field is required!
Do you have any of the following conditions?
Arthritis
Asthma
Back problems / injury
Constipation
Diabetes
Epilepsy
Headaches / migraines
Heart problems
High/Low Blood pressure
Joint dislocation
Knee problems
Menstrual complaints
Muscular complaints
Neck problems / injury
Osteoporosis
Pregnancy
Skin Conditions
Thyroid problems
Wrist problems
Other
Field is required!
Field is required!
Other conditions
[{"field":"{conditions}","logic":"contains","value":"Other","and_method":"","field_and":"","logic_and":"","value_and":""}]
Field is required!
Field is required!
DISCLAIMER AND LIMITATION OF LIABILITY
Healthworks’ activities and services, and all information and products provided in the course of them, are designed to assist with your general wellbeing. Those activities, services, information and products are not intended as a substitute for professional medical advice, diagnosis or treatment. If you are a Consumer under the Australian Consumer Law, you are entitled to certain consumer rights as provided by law that cannot be excluded.
Otherwise, Healthworks accepts NO liability of any kind to you or anyone else for any personal injury, damages or loss whatsoever (including direct, indirect, incidental, special or consequential damages) arising out of our activities or services or any reliance upon or use of the information or products provided during the activities or services, and Healthworks expressly disclaims all express and implied warranties to the maximum extent permitted by law. You acknowledge that your participation in the activities or receipt of the services and the use of any information or products provided during those is at your sole discretion and risk.
You should consult your medical practitioner for all required medical advice, diagnosis or treatments. Healthworks’ representatives do not diagnose conditions or treat them medically, and it is therefore your responsibility to seek medical attention and inform the representative of any change in your health status. It is also advisable to consult your medical practitioner before undertaking any activities, receiving services or commencing complementary therapies.
You warrant that any information provided by you on this form is true, complete and correct and that you have read and understood this disclaimer and limitation of liability.
By signing this, you acknowledge that you have read this Disclaimer and Limitation of Liability.(*)
Healthworks’ activities and services, and all information and products provided in the course of them, are designed to assist with your general wellbeing. Those activities, services, information and products are not intended as a substitute for professional medical advice, diagnosis or treatment. If you are a Consumer under the Australian Consumer Law, you are entitled to certain consumer rights as provided by law that cannot be excluded.
Otherwise, Healthworks accepts NO liability of any kind to you or anyone else for any personal injury, damages or loss whatsoever (including direct, indirect, incidental, special or consequential damages) arising out of our activities or services or any reliance upon or use of the information or products provided during the activities or services, and Healthworks expressly disclaims all express and implied warranties to the maximum extent permitted by law. You acknowledge that your participation in the activities or receipt of the services and the use of any information or products provided during those is at your sole discretion and risk.
You should consult your medical practitioner for all required medical advice, diagnosis or treatments. Healthworks’ representatives do not diagnose conditions or treat them medically, and it is therefore your responsibility to seek medical attention and inform the representative of any change in your health status. It is also advisable to consult your medical practitioner before undertaking any activities, receiving services or commencing complementary therapies.
You warrant that any information provided by you on this form is true, complete and correct and that you have read and understood this disclaimer and limitation of liability.
By signing this, you acknowledge that you have read this Disclaimer and Limitation of Liability.(*)
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Consent
I have read and understood the above
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Date
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Musculoskeletal Checks
Vision Checks
Body Composition Checks – InBody Scans
Mental Health
Onsite Mental Health Services
Mental Health Training and Workshops
Psychosocial Hazard Training
Workplace Mental Health First Aid
Corporate Wellbeing Initiatives
Annual Corporate Wellbeing Programs
Workplace Health Expos
Fitness and Activity Challenges
Corporate Fitness Programs
Fitness Challenge
Education Resources
Well at Work Newsletter
Training & Workshops
Health Awareness Seminars & Training
Micro Wellbeing Webinars
Corporate Diet & Nutrition Seminars
Injury Prevention
Injury Prevention Sessions
Manual Handling Training Programs
Ergonomic Assessments
Health Consultations
Seated Massage
Corporate Sleep Consultation
Corporate Nutrition Consultations
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Resources
Articles
Posters and Health Information Resources
Health & Wellbeing Calendar
About Us
Our Team
Our Approach
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