General Yoga: Health questionnaire for new students

All information is strictly confidential and can be changed or removed from our database at any time by request.

First name

Last name

Email

Phone

Address

Date of birth

Day

Month

Year

Have you done yoga before?

No

Yes

What is your main reason for wanting to do yoga?

Do you have any other conditions which affect your mobility or are likely to cause you concern when doing Yoga?

No

Yes

How did you first hear about this class?

I take full responsibility for my health during the yoga classes, including any injuries. I will inform my yoga teacher of any medical changes

Signature

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Date

Day

Month

Year

Yes, subscribe me to your newsletter.

Pre-paid classes:

No refunds on classes paid in advance but can be transferred within the same time block and can be given to a friend to use in your place in the event you cannot attend - as long as 48 hours notice is given.

General Yoga: Health questionnaire for new students

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