Onewithin.yoga
General Health Questionnaire - British Wheel of Yoga

- Revised 23rd December 2020

For completion by yoga class participants for either face to face or remote class teaching.
All information given will be treated in the strictest confidence and stored in accordance with General Data Protection Regulations.

It is entirely up to you what, or how much, information you disclose. You can leave all or any sections blank, but we draw your attention to the disclaimer overleaf because you must be responsible for your own health if you do not disclose.
Sign in to Google to save your progress. Learn more
Name *
Address including postcode:
Telephones: (day and evening)
Mobile
Email
Emergency contact name and phone number
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy