Postnatal Yoga Intake Form

I am so glad you will be joining us! Here are just a few questions that will help me create the most positive experience for you!

Name

First Name

Last Name

Birthday

YYYY

How many weeks/months postpartum are you?

Is this your first time doing yoga? If not, what kind of yoga do you practice? Do you do any other kind of movement (i.e. running, pilates, walking, weight-lifting, etc.)? *

Do you have any injuries or medical conditions related to your pregnancy, birth or otherwise? *

How did you hear about ReBearth postnatal yoga classes?

What do you hope to gain from this prenatal yoga community?

Have you received the "OK" from your OB or Midwife to start exercising?

Yes

Not yet