Private Session with Kerri Miliucci
Hi beautiful soul,

I am so happy you are here and can't wait to help you bloom! Please complete this questionnaire so that I may understand your needs and better support your goals.

I will be in touch via email once the questionnaire has been submitted.
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Please provide your full name. *
Please provide your email address. *
What is your preferred date for our initial session? *
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What is your preferred time for our initial session? *
Time
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What are your top 3 goals you hope to achieve in your private yoga sessions? *
Have you practiced yoga before? *
How long have you been practicing yoga? What styles have you practiced (vinyasa, hatha, ashtanga)? *
What other exercise, if any, do you incorporate into your lifestyle? *
What do you believe are your "problem areas"? (if any)
Please list any injuries, surgeries or medical conditions I should be aware of (e.g. high blood pressure, glaucoma, herniation or bulging of any vertebrae, sciatica, asthma). If none, please type none. *
Are there any other thoughts you would like to share with me?
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