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?
25-30 minutes asana (yoga pose) practice (plan to spend 1 hour learning this practice)
25-30 minutes asana including short meditation/mindfulness practice (plan to spend 1 hour learning this practice)
1 hour asana (yoga pose) practice (plan to spend 2 hours learning this practice)
1 hour asana including short meditation/mindfulness practice (plan to spend 2 hours learning this practice)
Other:
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)
£375 (1 hour asana practices) Professional rate, for those living comfortably. This rate subsidizes others. This rate covers preparation, materials and teaching time.
£300 (30 min asana practices) Professional rate, for those living comfortably. This rate subsidizes others. This rate covers preparation, materials and teaching time.
£250 (1 hour asana practices) Full rate, for those with a regular income, making ends meet without a problem. This rate covers preparation, materials and teaching time.
£180 - (30 min asana practices) Full rate, for those with a regular income, making ends meet without a problem. This rate covers preparation, materials and teaching time.
£75 (30 min asana practices) Subsidized, for those on low income. You will need to travel to my home studio, but all other offerings are the same.
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