Shambhavi Yoga Studio - Yoga Health Questionnaire & Consent Form For New Students
The purpose of this questionnaire is to help your yoga teacher better understand about your fitness and health level in order to address your general expectations from our yoga classes. This information will be used for the evaluation of your health and readiness to begin our exercise program. The form is extensive, but please tries to make it as accurate and complete as possible.
Prefer not to say
Which type of yoga you want to learn?
Traditional Yoga (Hatha Yoga/Ashtanga Yoga/Vinyasa Yoga)
Modern Yoga(Fusion Yoga/Power Fusion)
Family Medical History (If any):
Are you currently under a doctor's care, if yes explain:
How physically active is your lifestyle currently (Scale of 1-10, 10 being the most active)? :
Have you done yoga before? Y / N
Height / Weight / Age
How stressful is your job (Scale of 1–10)
Do you suffer from any of the following health issues? Check where applicable
Date of Birth
If Yes Specify No. of Years:
What are your expectations and/or goals from your yoga class?
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