✨Private 1-1 Consultation✨
Your feedback is appreciated.
Email *
Name *
First and last name
Do you currently practice with me or have you ever trained with me privately? *
Do you have a daily Meditation practice? *
Do you have a daily Yoga practice? *
Do you have a weekly Movement/Dance practice? *
Are you interested in elevating your current health and wellness of mind and body? *
What are you seeking from working with me in a private 1-1 session? *
Do you have an external yoga studio/gym membership? *
Are you using your external gym membership? *
Has your mental + emotional health declined since the pandemic? *
Please check what you most experience. Many have developed increased symptoms as a result of pandemic. *
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What would be your ideal health/wellness plan for YOUR needs? *
Would you consider working 1-1 long term to find your* specific recipe for balance? *
Which option works best for you? *
What is your long term vision of yourself at your best and fullest potential? *
Do you currently have any injuries?
Are you pregnant?
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Anything else you would like to share *
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This form was created inside of Nikki Baksh: the Movement©.