Bend Hot Yoga - Membership Questionnaire
We have created these quick questions to help you create the ideal membership option for you. This Wellness Questionnaire should take you less than two minutes and will build the foundation for your customized experience that is tailored just to you. Please fill this out and we'll get started!
Email address *
First and Last name? *
Your answer
Phone Number *
Your answer
How did you hear about us? *
Required
What are your specific health and lifestyle goals? *
Your answer
What are you doing right now to reach those goals? *
Your answer
How long do you realistically think it will take to achieve the goal you have in your mind? *
How often would you like to come to Bend Hot Yoga to achieve on your wellness goals? *
Are you a(n): *
Required
Everyone has something that has the potential to derail their efforts. What obstacles do you foresee standing in your way? *
Required
Do you have aches/pains in any parts of your body? Do you hold tension or stress in any areas? List any injuries that we will need to work around (Don't worry, we can modify anything!) *
Your answer
If you can imagine what your life will look like when you achieve this goal, how will you feel? How will your life change? What will you do? *
Your answer
Anything else we should know to design the best membership for you? *
Your answer
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