New Client Form

Thank you for trusting me to guide you along your yoga path. Before we begin, let’s get to know each other a little better.

New Client Form

Please fill out the form below prior to your first session with me. The information provided here will help me tailor your session to your unique needs and goals. I look forward to working with you.

Name

First Name

Last Name

Phone

(###)

###

####

Birthdate

What is your preferred meeting time/day?

Please note my class schedule before requesting midday and early evening times.

Have you practiced yoga before?

Yoga videos, online classes, and self-led practices count.

Injuries, Ailments, or Special Requirements

Some injuries and health issues require special yoga modifications to ensure your safety. Please let me know if you're dealing with injuries, health issues (high blood pressure, low blood pressure, diabetes, etc), or if you have some special requirements I should know about.

How have you been feeling?

Please let me know how you've been feeling - physically, emotionally, and mentally.

Where's your tension?

Do you know where you hold your tension? Shoulders? Neck? Lower back?

What are you hoping to achieve?

People take private classes for different reasons. What are your goals for our sessions? What are you hoping to change, achieve, or discover?

Is there anything else you'd like to share?