Yoga/Wellness Class Interest Survey
Are you interested in participating in a yoga class in the Milford/East Hants, Nova Scotia area?
Please fill in the interest survey and I'll contact you with information about upcoming classes.
There is no obligation attached to doing this survey.

Please note:
This form scrolls within the browser window. Make sure you scroll all the way to the end to submit.
*Please check with your physician before beginning any kind of fitness/exercise program.

Thank you for taking the time to fill out the 'Interest Survey.'

Kerry at

In which type of class are you interested? *
Check all that apply.
Please choose a day/time that you could attend a yoga class/seminar. *
You can choose more than 1.
First Name *
Your answer
Last Name
Your answer
Email Address
Your answer
Phone # *
Your answer
Do you own a yoga mat? *
Class format preference.
Any comments or suggestions?
Your answer
The year is 2018, what was last year? *
This is just a techie question to help weed out spam. Thank you for humouring me with this question!
Your answer
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