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Private Yoga with Jill
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First Name
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Your answer
Last Name
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Your answer
Email address
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Your answer
Phone number
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Your answer
Occupation
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Your answer
Have you practiced yoga before?
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Yes
No
If yes, how often do you practice?
Daily
Weekly
Monthly
Less often
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What are your goals and expectations for your practice? What do you hope to achieve? (check all that apply)
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Increased strength
Improved flexibility
Stress relief
Improved overall fitness
Better general well being
Deeper knowledge of yoga
Other:
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Areas of yoga that interest you? (check all that apply)
Asana (poses)
Pranayama (breath work)
Meditation
Yoga Philosophy
Unsure
Please let me know if there are any limitations I should know about that could affect your practice.
Your answer
How did you hear about me?
Your answer
I will reach out to you to schedule a mutually convenient time.
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