private yoga preliminary questionnaire
before we begin our yoga/movement sessions, i would like to get a sense of where you are and where you want to go. please respond to the questions below, and though we may have discussed some of these already, writing it down now will also help you to clarify your intention.
Sign in to Google to save your progress. Learn more
Email *
name (first last) *
phone number *
preferred method of communication
what's motivating you to explore 1:1 sessions now? do you have an idea of what you want to work on specifically?
what do you hope to gain out of this experience? 
do you want to develop an ongoing home practice? if so, why? 
check all that you are keen to explore/incorporate in your sessions, and elaborate on any in 'other'.
although i am not a doctor, it can be helpful for me to be informed of any injuries or illness you are currently working with. you are welcome to share it here.
what is your current physical activity and history (ie. sports, dance, etc.)?
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy