Private 1:1 Registration Form | Gemyogaandwellness

New Student Registration Form

Please fill in the details below

Full name

Phone

Have you practised yoga before? // If so, for how long? // What do you like about yoga? // Don't like about yoga?

Do you do any other form of exercise? // If so, which type and how frequently?

Private 1-1 Students:

Health History: Please tell me of any major injuries, surgeries or major health complications you may of had in the past?

Current Health: Please tell me of any current discomfort, currrent injuries or medical conditions you may have?

Lifestyle: What do you do? // What are your working hours like? // What do you spend most of your time doing? // Who or what outside of work are you responsible for taking care of? // How do you sleep? // What do you like to cook/eat?

What are you hoping to get out of your 1-1 session/s? // Do you feel you need to improve on your strength, mobility, flexibility, relaxation, having better focus, or improving sleep?

Thank you for submitting

New Student Registration Form

Private 1-1 Students:

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