Yoga to Go Intake Form
Yoga to Go is designed to help those who want to develop their home practice with some guidance, or those too busy with travel, family, or other commitments to make it to a studio regularly. It's more personalized than an online yoga video, but frees you up to explore on your own with intelligence and support. I offer this on a sliding scale to make it available to everyone. I'll contact you within 3 days of submitting to discuss getting started. Thank you!
What is your name?
Your answer
What is your email address?
Your answer
What is your preferred phone number?
Your answer
Tell me a little about your experience with yoga and general fitness level.
Your answer
Do you have any physical or mental conditions that would affect your practice? (Please note any chronic issues or injuries you are working with.)
Your answer
What are your top 3-4 intentions for your body? (Think: open hips, flexible hamstrings, core strength, balance, shoulder ease, neck relaxation)
Your answer
What are your top 2-3 intentions for your mind? (Think: de-stress, practice concentration, practice gratitude)
Your answer
What length and type of practice would you like to receive?
What payment level is right for you? (Fees cover all preparation based on your goals and intentions, a short intake conversation by phone, in person teaching time, and video/written materials)
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