Pre-Yoga Class Questionnaire

Please complete and submit the form below before your first yoga class. If you have any queries please either call me on 07940 374125 or e-mail me at

Pre-Yoga Class Questionnaire
Please make sure you've typed this correctly
Yoga is safe for the majority of people, however there are certain conditions which require special attention. If you're not sure please consult your GP beforehand. To help me ensure your safety when practising yoga, please tick any boxes below that apply to you:
Are you pregnant, could you be or have you given birth in the last six weeks? *
Please tick below to confirm that the information you've provided is accurate, that you agree it's your responsibility to check with your doctor if you have any concerns about practising yoga and that you are responsible for notifying me if any of this information changes: *
Would you like to receive occasional e-mails with updates and offers? *

This form collects and stores your details in line with our privacy policy and only for the purposes stated.


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