Hot or Not Yoga NM Questionnaire
Please take this Wellness Questionnaire (two minutes long, tops) and help us learn more about you so that we may customize your ideal membership!
* Required
Email address
*
Your email
First and Last Name
*
Your answer
Phone Number
*
Your answer
How did you hear about us?
*
Google
Facebook
Instagram
In the neighborhood
Friend or relative
I'm a current member
Other:
Look back over your life and please describe the best you’ve ever felt... What were you doing then and who were you doing it with?
*
Your answer
What are your specific health, wellness, and lifestyle goals?
*
Your answer
What are you doing right now to achieve these goals?
*
Your answer
How long do you realistically think it will take to achieve the goals you have in your mind?
*
30 Days
1-3 Months
3-6 Months
6-12 Months
12+ Months
Everyone has something that has the potential to derail their efforts. What obstacles do you foresee standing in your way?
*
Your answer
How often would you like to come to Hot or Not Yoga NM to work on your wellness goals?
*
1 day/week
2 days/week
3-5 days/week
As much as possible
Only 1-2 times/month or less
Haven't decided yet
Other:
Are you a(n):
*
Early Bird (6am)
Mid Morning Enthusiast (9:30-10am)
Mid-Day Merger (Noon)
Early Evening Flexer (4:30-5:30pm)
Night Owl (6-8pm)
Weekend Warrior
Other:
Do you have aches or pains in any parts of your body and/or injuries that you're working to heal in your classes with us?
*
Your answer
One last question: If you can imagine what your life will look like when you achieve your aforementioned goals, how will you feel? How will your life change? What will you do?
*
Your answer
Anything else we should know?
*
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Hot or Not Yoga NM.
Report Abuse
Forms