Yoga Questionnaire — Alignedness

All of the answers you provide here are for the purpose of crafting a yoga practice that will fit you and serve you, exactly as you are. I welcome you to give me as much information as you are willing. All subject matter will remain between you and I.

Name

First Name

Last Name

Email (So I can ask any follow up questions and we can coordinate for yoga sessions)

Relevant Medical History (Injuries/surgeries/physical sensitivity/disabilities, etc)***

Athletic Background (Sports, exercise regularity, type of fitness activities)

About how often do you partake in physical activity (daily, weekly, monthly), and for what time duration?

What has been your experience with yoga thus far?

Tell me what you are seeking to address (strengthening, soothing physical or mental ailments, increasing flexibility, etc. This is your time to give me some insight into who you are, no limits are in place - if it feels necessary to share it, by all means do so.***

*** ALL of the information provided here will remain confidential. I am not a doctor or psychologist or psychoanalyst, I will do thorough research to provide insight into your needs, but bear in mind my training is limited to a fitness, holistic, and philosophical approach.

Phone

(###)

###

####

Days and times that you are available to be reached by phone