Request edit access
Set Up for Success Assessment
Thank you for choosing Peace through Yoga! As a boutique yoga studio located in the heart of your neighborhood, we love knowing our students and want to get to know you too! You won't get lost in our classes, you won't be a number. We care and want to support you for any reason that originally brought you to our studio. Thank you for taking a few minutes to complete our assessment. We are off to a great start!
Sign in to Google to save your progress. Learn more
Full Name *
Email *
Phone [mobile] *
How did you learn about Peace through Yoga? *
If another student referred you to us, please share that student's name.
Before coming to Peace through Yoga, had you done yoga before? And if yes, why did you stop? *
Which studio are you most likely to visit? You may select more than one. *
Why are you interested in developing a yoga practice? *
How frequently would you like to take yoga classes? *
Everyone has the potential for something to stop them. What do you think may be your biggest obstacles in practicing yoga regularly? *
When is it most convenient for you to take classes? *
We all need someone in our corner. Who is in your support system? Will they cheer you on so you stay strong? *
Please describe any medical conditions, injuries, surgeries and chronic pain that may inhibit your practice. Poses can be modified and we want to be sure to help you practice safely. *
How long has it been since you were last in your ideal shape? *
On a scale of 1 to 5, how committed are you to improving your health and maintaining a regular yoga practice?
Not too committed
Extremely committed
Clear selection
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy