Yoga Worksheet
I am so excited to get started on this journey together! Please take the time to fill in the answers to these questions so that we can get a jump start on our journey. This will help me get to know you and tailor the programme appropriately.
Sign in to Google to save your progress. Learn more
Email *
Your name? *
What is your timezone?
What drew you to signing up for this session? What do you hope to get out of it? (Strength, flexibility, relaxation, mindfulness etc) *
Please briefly share how much experience you have with yoga and gentle exercise (beginner, long-time practitioner?) *
Where do you currently fall on the CFIDs Rating Scale?http://cfsselfhelp.org/files/rating_scale.pdf (copy this into your browser URL bar) it gives us an idea of where you are starting. *
Has your doctor cleared you for yoga/exercise? Are there any specific areas they have warned you to be careful of (i.e knees) *
Do you have active trigger points? If so, where? *
Is there anything else you would like me to know prior to our session? *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy