Application to Trauma Informed/Trauma Focused Yoga Teacher List
Intersections Wellness and Pittsburgh Yoga Therapy are working together to help trauma survivors, their loved ones, and the professionals who serve them to access yoga that is appropriate to support their recovery.

Please help us to compile a list of trauma informed and trauma focused yoga teachers in the greater Pittsburgh/Tri-State area by filling out this questionnaire. You will be added to a list that will be published on the Intersections Wellness and Pittsburgh Yoga Therapy websites.

Before answering the questionnaire, you will need to know how we are defining "Trauma-Informed" and "Trauma-Focused." If you haven't read our definitions, please take a moment and do so on the web page http://www.intersectionswellness.com/trauma-informed-yoga-pittsburgh/ .



Email address *
This is my: *
Can we publish your email address in the directory? *
First Name *
Last Name *
Phone Number
Can we publish your phone number in the directory? *
Your Website
How do you prefer to be contacted by potential students? *
Where do you teach?(County/Neighborhood/City/State/Zip - list as many as apply) *
Do you identify as a trauma informed yoga teacher? *
What training/experience supports this designation? *
Do you identify as a trauma focused yoga teacher? *
What training/experience supports this designation? *
What special populations/locations do you serve?
This list will be published on two websites at these web addresses http://www.intersectionswellness.com/ and http://www.pghyogatherapy.com/. By submitting this form/application you agree to have your name, contact info, and teaching location(s) published on The List, and to contact us if at any time you decide you wish to be removed from the list. By submitting to this list you agree to hold harmless, in perpetuity, Paula Soto, Ali Popivchak, and all their associated relations and/or entities. *
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