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Hi there! I’m so glad that you’re reaching out for support and are going to start this journey!

This form is to help me get to know a little bit more about you and what you’re hoping to get out of private yoga and coaching. Please, fill it out as thoroughly as possible. Thank you! I’m looking forward to working together!

Name *
Name
Date
Date
Address
Address
Phone
Phone
If you have a yoga practice, how often do you practice?
What are your goals/expectations for private yoga & coaching?
Please, review this list and check any conditions that have affected your health now or in the past.