YOUR Personalized Yoga Flow

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Answer a few questions about your mind, body, health, and goals and get a yoga flow designed for your unique needs!

Your Name (or the name of who the flow is for)

Sex Assigned at Birth (physiology matters and some stretches are harder based on your body)

Male

Female

Clear selection

Preferred Pronouns

What is the email where we should send the invoice? *

If this is a gift for someone else, to what email should we send the video?

About how long would you like to spend on your practice?

25 minutes ($100)

30 minutes ($125)

45 minutes ($160)

Clear selection

What do you hope to achieve with yoga, physically (you can choose up to 2)

More flexibility

Weight Loss

More energy

Improve balance

More strength

Improve posture

Help with general aches and pains

Other:

What do you do for work or spend most of your time doing?

I sit at a desk all day

I stand or walk all day

I get a good balance of standing and sitting

I stand on a VERY hard surface all day

Clear selection

When are you most likely to practice yoga?

Early morning

Mid-morning to mid-day

Evening

Right before bed

Clear selection

In which areas of your (emotional or mental) life would like to feel more balanced or free (pick 2 )?

I'd like to fee more secure and rooted

I'd like to feel more inspired and creative

I'd like to feel more powerful and free to be me

I'd like to feel more kind and compassionate

I'd like to feel more expressive or able to communicate thoughts and ideas

I'd like to feel more open to energetic vibrations

I'd like to feel more "spiritual" or connected to my higher power

What experience level are you?

Totally beginner (Barely know what yoga is)

Beginner-ish (I practice once in a while and know the "popular" poses like Down Dog)

Amateur (I practice every now and then and know a few poses by name)

Yoga Lover (I practice regularly and am familiar with some of the concepts)

Clear selection

Does any part of your body give you trouble? Just general aches and pains (nothing severe). I am not a doctor and cannot “cure” anything but might be able to suggest poses that could alleviate minor discomfort.

Do you have any injuries/chronic pain/ or conditions I should know about (this is confidential, promise!)? This is different than the above question. This pain causes more than general discomfort on a daily basis and is something you’ve been to a doctor about or diagnosed with. Please be aware that this is not a treatment plan for any injury or condition. I just need to know so I don’t suggest anything that will further aggravate a condition.

Do you deal with any mental mental health issues regularly (like addiction, anxiety, depression, etc). Again, this is 100% confidential. I will not attempt to diagnose or cure but yoga can play an important part in your mental and emotional well-being. You can also choose not to answer this question.

We'll be sending you an invoice for the flow based on your time selection. Please let us know if there is anything else you'd like to add--any special notes or anything you'd like us to know!

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Cognite Labs. Report Abuse

Forms