New Client Intake Form
Arjan Deva Yoga has designed this quick questionnaire to help us learn more about your needs as a client! Please take your time and answer thoughtfully, as this is a no-judgement zone. Be honest to make your experience the most authentic and efficient. Be sure to review your answers and we will follow up shortly!

Email address *
Name *
Best Time of Day to Contact *
Phone Number *
How did you hear about us? *
What is your definition of yoga? *
What are you looking to improve on or learn more about? *
If you currently practice, where are you most comfortable?
Clear selection
Do you like group classes?
Clear selection
What style(s) of yoga have you practiced before?
Have you ever been to one of Valerie’s classes? *
What part(s) of your anatomy do YOU think need the most love?
For a 75-90 minute session, what days work best for you? *
What do you currently do for wellness/fitness? *
Questions, comments and/or concerns?
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