Private Yoga Questionnaire

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First Name *

Last Name *

Email *

Phone *

Location *

Please let us know at which Yoga District location you'd like to have the session(s) (Petworth, 14th St., Bloomingdale, Dupont, Glover Park, H St., Durham), describe any other location at which you'd like to have class, or please indicate if you prefer an online/virtual session.

Class Type *

Introduction to Yoga

Introduction to Meditation

Stress Relief Yoga

Chair Yoga

Restorative Yoga

Alignment-Focused Yoga

Advanced Yoga

Other:

Required

Physical Goals

Please describe your current and past physical goals, injuries, conditions, etc.

Emotional Goals

Please describe your current and past emotional wellness and goals.

Availability *

Please list all days and times of your availability for the class.

Class Length

30 minutes

45 minutes

60 minutes

75 minutes

90 minutes

120 minutes

Class Frequency *

Daily

Six days a week

Five days a week

Four days a week

Three days a week

Two days a week

One day a week

Once every two weeks

Once every three weeks

Once a month

One-time event

Required

Please share any other information relevant to the yoga session. For instance, if you already have a favorite Yoga District teacher in mind, please share their name. You may also share if you prefer to work with a teacher who has particular experience, such as experience working with deeply religious students, a particular style of yoga, or a certain level of certification/training.

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