Private Yoga

First Name *

Surname *

Email *

Phone *

Have you ever done yoga before? *

Yes

If yes, briefly outline your experience:

What other kinds of exercises have you done/do you do? *

Have you had any major injuries or surgeries in the past? *

Yes

If yes, please elaborate:

Do you have any current discomforts or diagnosed injuries? *

Yes

If yes, please elaborate:

Are you prone to stress or anxiety? *

Yes

If yes, please elaborate:

What is your reason for requesting private yoga sessions? Please check all that apply. *

I am a beginner and want to practice in a comfortable one-on-one environment

I am an intermediate level and want to deepen my practice and learn advanced asana

There aren't any group classes in my area that I can relate to

I want to increase my athletic performance

I want to address an ailment or injury

Other

Other (please specify)

Are you interested in more than one private yoga session? *

Yes

I'm not sure, I'd like more information

What are your time requirements or limitations? *

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