Yoga for People Living with Multiple Sclerosis

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for taking the time to provide us with information to help create a class that focuses on what is important to you.

Have you practiced yoga before? *

Yes

Will you need a yoga mat? *

No. I have my own I can bring.

Yes. I will need to borrow a yoga mat for the practice.

How is your ability to get up and down from the floor at this time?
*

I can do it by myself with no assistance / need for props.

I can do it, but need / prefer to have some support (a chair).

At this time, I would prefer to not transition to the floor.

We can explore a variety of tools and topics in our yoga class. What areas are of most interest to you at this time? Please check all that apply.

Anxiety

Balance

Brain fog / confusion

Chronic pain

Coordination

Depression

Eye strain

Fatigue

Posture

Range of motion / mobility / stiffness

Sleep (help with insomnia)

Strength and stability

Stress management

Other:

Required

Do you have any other issues that you would like to share with the instructor? Do you have any questions about the class? Please feel free to write them here, or if you prefer to talk to the instructor directly you can contact Jennifer at 540.552.2596 or joyifer@yahoo.com.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms