Online Private Yoga Questionnaire
Use this form to customize your online yoga experience.
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Email *
Please list 3 possible dates and times that work for your schedule. Note all times as Eastern Standard Time (EST).  Your yoga teacher will contact you in 12 hours or fewer to confirm a date and time for your appointment. *If you have any questions, please text 678.631.7808.* *
Please list the best phone number where you can be reached. *
Select the free app that is most convenient for you. *
List any focus areas for your practice (i.e. stress relief, core strength, tight hips).
Please note any contraindications, injuries, or other considerations for your yoga teacher.
How would you describe your experience level with yoga? *
Do you acknowledge that you are choosing to practice yoga at your own risk, and that Deeply Rooted Wellness + Yoga is not liable for any injuries or damages? *
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