1. What's your name?
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First Name
Last Name
2. How do you identify?
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3. What age group are you part of?
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4. How long has it been since you've practiced yoga?
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This will help me understand where your body is at, so that we progress gently.
5. Are you comfortable with me doing gentle alignment adjustments on you during class?
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6. Do you have a meditation practice? If yes, how regularly? Tell me a little about it .
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7. Do you have any injuries (chronic or acute)? It is important to let me know so I can offer alternatives during class.
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8. Have you had any surgeries? (even in childhood, adolescence , or early adulthood)?
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9. Do you have any diseases or health issues?
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(please list absolutely anything you can think of including high blood pressure, bulging disks, insomnia, depression, anxiety, digestive problems, etc.)
10. If you are a woman, what stage are you at?
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11. What are you hoping to experience by practicing weekly? (select as many answers as you'd like )
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12. Are you comfortable with the scent of natural lavender essential oil being diffused during class?
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13. For extra precaution, a mask is required upon entry into my home. You can remove the mask once you are upstairs on your yoga mat. If you need to go to the bathroom, please put your mask back on.
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14. Because we are a very small group, please let me know as soon as you can if you cannot attend a class. A minimum of 2 participants is required to run the class. In the event that 2 people cannot attend on the same day, we will reschedule to a different day that week.
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15. Would you be interested in writing a short review of your experience when the session is done? (Totally ok if no)
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16. Is there anything else you'd like me to know, or anything you'd like to tell me?
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