Our Class Questionnaire

THE LEADER IN CLASSES IN HORSHAM

How to join us and take part

So you'd like to join us to do classes? We think that's a simply wonderful idea and we can't wait to meet you!

Whether it's face-to-face Pilates or Yoga in the studio, online, or equipment classes we're famous for offering the broadest selection in the local area. However due to our primary function as a corrective exercise and clinical facility it's absolutely vital that we find the right class for you. This could either be based around what you're looking to get out of classes, or historical challenges that you might have had.

This is why we ask our clients to complete this questionnaire, which allows us to get an understanding of what you're looking for.

When you've submitted this, it'll be sent to Sarah Dover-McCarthy who is the founder and clinical director of Total Therapy Studios. She'll review the information and give you a call so you can have a conversation around how we feel we can help. She'll also be able to answer any questions that you may have. From here, we'll be able to find the right class for you, and get you started. Please note the information below is dealt with in the strictest confident in line with our clincal privacy policy.

In the unlikely event you haven't heard back from us in three/four days, just drop us a line.

Name

Phone Number

Email address

Age

How did you hear about us?

What type of class are you interested in? I.e., Pilates, Yoga, Pain Management, relaxation and restoration, Yoga Nidra, etc.

Are you looking for online classes, or face-to-face in one of our studios (or a combination of the two)?

When are you available to attend our classes? If you are flexible please state daytime, evenings, weekends, etc. The more info you give the better change we have of finding you the right class!

Would you like to attend regular classes - I.e., the same class each week - or would like to drop into different classes each week?

What physical activities or exercise classes do you currently do?

Have you done classes before and what were they?

What is the main reason for you to come to classes? For example: back pain, hip pain, stiffness, increase mobility, flexibility and strength, or to manage stress and anxiety, or for general movement and conditioning.

Please provide any details around any medical conditions (such as Fibromyalgia, MS, Parkinsons, endometriosis, stress incontinence, surgery), or other health or emotional issues. Again the more information we have the better.

Are you currently receiving any treatment from a health professional, such as a GP, Physiotherapist, Osteopath, Chiropractor?

Finally, is there any other info you feel could be relevant?

Data Authorisation - When you submit this information, it will be sent to Total Therapy Studios. We will store your contact data on our clinic management system, and use this information to give you a call to discuss class optionst. This information is held in secure electronic storage. We will also create a client file for which contains the all of the information that you have provided on the above form.

This file is held in hard copy, and is held securely in line with our insurers instructions. We use this information so that we can provide the best clinical experience for you, and so we can work out the most appropriate plan for you going forward. We never ever share your information outside of Total Therapy Studios. More information is available on our privacy policy, which you can read by clicking here

Please type your name in this box to sign that you're happy for us to process your data in this way.