Scheduling your Y@C Wellness Consultation
Thank you for taking the time to fill out this form. We are excited about this new studio service and we hope that this 20-minute consultation will be a unique opportunity for you to reflect on your practice and future wellness journey at Y@C. We will do our best to schedule you with a Wellness Team Member based upon the availability you provide on this form. Please expect an email from our team within 24-48 hours of submitting your response.

Please keep in mind: Wellness Team Members are not licensed physicians or mental health professionals.

What is your first and last name? *
Your answer
What is your email address? *
Your answer
What is your phone number? *
Your answer
What is your preferred method of communication? *
How did you hear about our studio? *
If you were referred to us, please let us know who we should thank!
Your answer
Have you practiced Yoga before? If so, feel free to let us know where (e.g. practice at home, another studio, at work, etc.) *
Your answer
Have you practiced at either of our studios before? *
Please let us know which days and times of the week work well for you for a 15-20 minute wellness consultation.
Morning (9:00 am - 11:30 am)
Afternoon (11:30 am - 4:00 pm)
Early Evening (4:00 pm - 7:00 pm)
We have two studio locations, which one is more convenient for you to meet at for your wellness consultation? *
Anything else that you think we should know at this time?
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms