Private Yoga Questionnaire
Email *
First Name *
Last Name *
Location *
Please let us know which Yoga District location you'd like to have the session(s) at (Petworth, 14th St, Bloomingdale, Dupont or H st) other location at which you'd like to have class OR if you prefer an online/virtual session.
Class Type *
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
Class Frequency *
Required
Other information
Please share with us anything else about your goals or needs for the session(s), as well as any preferences you may have.
Please tell us about your teacher preferences. Do you already have a favorite Yoga District teacher in mind for your personal yoga training session? Do you prefer that the teacher have any particular qualifications (eg training in Kundalini yoga)? Do you prefer that the teacher have any particular experience or perspective (eg experience working with deeply religious students)?
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google.