Yoga Class Wait List
Yoga isn't a class. It's a lifestyle. I'm so excited to be with you as you progress on this next step in your journey. Help me get to know you better.Ā 

Let's flow together! šŸ§˜ā€ā™€ļø šŸ“–Ā šŸ’™

Your biggest cheerleader,
Dawn Goldstein
Sign in to Google to save your progress. Learn more
Last Name, First *
Captionless Image
Phone Number *
Rate your flexibility *
Extremely inflexible
Extremely flexible
Rate your coordination *
Extremely coordinated
Extremely coordinated
17 | How much do you typically enjoy yoga class? *
I loathe it
It's my fave!
How much would you pay for an in person yoga class? *
How much would you pay for an online yoga class? *
What else would you try is Dawn's yoga class didn't exist?
Tell me or show me "with an emoji" how you feel about developing a yoga practice. *
Captionless Image
Just in case!
Emergency Contact Name
Emergency Contact Phone
Emergency Contact Relationship to you
Medical History: Please complete the medical history section below so that we can be sure to respond to any emergencies should they arise in class.
Please describe any physical or cognitive obstacles.
Yoga Clients: Please describe any surgeries, injuries, and/or physical or medical conditions you've had in the past year so that I may provide the proper accommodations for you to fully participate in the classes.
Last, but not least, please leave your concerns, questions and comments below: *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy