Private Yoga Session Intake

I am honored to connect with you. Here are just a few questions that will help me create the most positive experience for you!

Name

First Name

Last Name

Phone Number

Birthday

YYYY

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?

How did you hear about ReBearth Yoga?

Do you have the "OK" to exercise from your primary care physician??

Yes

What do you hope to gain from our yoga sessions?