The Yoga Batch ~ Health Questionnaire
Yoga offers tremendous benefits to overall health and well being, but can sometimes be physically challenging.  The following questions help me to help you, however, please always listen to and respect your own body.  Effort and discomfort is fine, but working into pain is your body telling you to stop or modify your practice.
All responses are confidential.
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Name *
Contact number *
Email address *
How did you hear about The Yoga Batch
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Have you attended previous yoga classes/courses (either online or in-person)?  If yes, how long have you practiced and what style? *
Please tick the boxes below if you have any of the following medical conditions and use the text space below to add any further details if necessary. *
Required
Please use this space to expand on any relevant information if you have ticked any boxes above, or any other details you wish to share. (Please state N/A if not applicable) *
Are you/could you be pregnant, or have you given birth in the last 6 weeks? *
Name of a contact we should contact in the unlikely case of an emergency. *
Emergency Contact Number *
Declaration - I confirm the above information is correct and that I take responsibility for my own health and safety whilst participating in the yoga class, whether face to face or remote, and I also understand that it is my responsibility to:  1) Check with my doctor if I have any difficulties or concerns about my ability to participate in the yoga class;  2)  Advise the yoga tutor of any change in my medical information or ability to participate in the yoga class;  3) Follow the advice given by my doctor and/or yoga tutor;  4) Remain on screen when participating in a remote yoga session; and I understand that for any periods of time throughout a remote session during which I move off screen or are outside of the teacher’s view, whether intentionally or not; no liability will arise on the part of the teacher. *
Required
Are you happy for The Yoga Batch to keep you informed about future classes, workshops and events (approx monthly email updates).  Your details will never be passed on and you can unsubscribe at any time. *
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