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Yoga Harmonics: Contact Form
Yoga Harmonics: Yoga Therapy, IPT, HMR,
Āyurveda
& Health Counseling
Michelle Tryling, C-IAYT, CHMRP, SA, E-RYT500
www.yoga-harmonics.com
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Email
*
Your email
First & Last Name
*
Your answer
Phone
*
Your answer
Preferred method of contact:
*
Phone
Email
Video Correspondence
Required
How did you hear about Yoga Harmonics? Whom might we thank for the referral?
*
Your answer
Would you like to receive the Yoga Harmonics' Newsletter?
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Yes
No
I am most interested in...
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Yoga Therapy
Integrated Positional Therapy (IPT)
Holographic Memory Resolution (HMR)
Āyurveda, Health Counseling
Other:
Required
What is your preferred availability?
*
Monday
Tuesday
Wednesday
Thursday
Friday
early morning (8am to 10am)
late morning (10 am or later)
early afternoon (1pm to 3pm
late afternoon (3pm or later)
Monday
Tuesday
Wednesday
Thursday
Friday
early morning (8am to 10am)
late morning (10 am or later)
early afternoon (1pm to 3pm
late afternoon (3pm or later)
I am inquiring about...
*
scheduling a new client initial intake & session.
participating in online group Yoga Therapy sessions.
upcoming group series, workshops, or events.
integrating Yoga Therapy, Āyurveda, IPT, or HMR into my current healthcare.
use of Yoga Therapy, Āyurveda, IPT, or HMR & a particular medical condition.
professional networking & opportunities.
Other:
Required
Any thing else you'd like to ask?
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Your answer
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