Student Health Questionnaire

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To be completed by all yoga class participants for face to face and remote teachings. All information given will be treated with strictest confidence and held in accordance with the General Data Protection legislation. All items are required to be filled in order to attend sessions for personal safety and track and trace measures.

Email *

Job Title and hours working per week *

NAME: *

DATE OF BIRTH: *

YYYY

FULL ADDRESS(number, street name, city/town, post code): *

Please share an emergency contact name and phone number below: *

LANDLINE AND MOBILE PHONE: *

Have you practiced yoga previously? *

Yes

Required

If so, which style(s) of yoga have you practised? *

What has brought you to yoga? *

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