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Simply Soulful Yoga & Therapies - FOREST BATHING & MINDFULNESS EVENTS - Health Questionnaire
Thank you for taking the time to fill in this form.
If you have any questions please do not hesitate to contact me.
Donna McCheyne - Simply Soulful Yoga & Therapies – Tel: 07941 508 004 –
www.simplysoulful.co.uk
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First name
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Address (excluding postcode)
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Date of birth
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Contact telephone number
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Please describe your current health (including any medication/ medical supervision)
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What would you like to achieve from your practise?
Increased self awareness
Reduced stress and anxiety
Increased relaxation and inner calm
Improved physical wellbeing
Improved emotional wellbeing
Increased resilience and inner strength
Enhanced creativity and inner wisdom
Greater compassion and respect
Enhanced clarity and concentration
Other:
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Any other relevant information not already covered?
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