Prepare with Our Health Questionnaire

I give consent to my yoga teacher to hold and use my contact details above for the purpose of informing me of future yoga classes and yoga related events. Please note that you can opt out of these communications by informing your yoga teacher.

What are you hoping to gain from these yoga classes :

If yes to any of the above please specify below:

Please give details of any physical or psychological issues which may affect the enjoyment of these yoga classes:

Is there any other information that is relevant to these yoga classes you would like to share:

Please specify any current medication:

Health declaration & wellbeing questionnaire