Post-Covid Yoga Intervention & Rehabilitation

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Post-Covid Yoga Intervention & Rehabilitation | Prāṇoddhāraṇā

Post-covid Rehabilitation through Yoga

Email *

Full Name *

Age *

Gender *

Female

Male

Other:

Nationality *

Address (Please mention full address with the country of residence) *

WhatsApp Number *

Skype ID *

How did you hear about KYM's Yoga Therapy Support for Post-Covid Intervention? *

KYM's Website

KYM's Facebook Page

KYM's Newsletter

WhatsApp Message

Through a Friend

Other:

Do you suffer from any health problems? Please specify. Kindly note that you may have to explain this in detail when the Therapy session is fixed with KYM's Yoga Therapy Consultant/Teacher * *

How many days have passed since you are cured or tested negative for Covid-19 *

Are you still in home quarantine? *

Yes

Other:

Have you taken KYM's one-on-one Yoga Therapy session before? *

Yes

This Yoga Therapy intervention is only for post covid rehabilitation. For other conditions, students are requested to visit www.kym.org. *

I agree that the above information provided by me is correct and complete. I also agree to provide further information that the KYM Yoga Therapist may require during both the Consultation and the Yoga Therapy classes. I am willingly undertaking this with my complete consent.

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