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YOGA CLIENT INTAKE FORM
All information provided is to remain confidential. This information will help you get the most out of your yoga classes and clarify our instructor/student relationship.
Contact information
Name and phone number
Have you practiced Yoga before?
How often do you practice?
Style(s) of yoga practiced most frequently: (check all that apply)
What are your goals/expectations for your yoga practice? What benefits are you looking for? (check all that apply)
Personal Yoga interests: (check all that apply)
How do you rate your current level of activity?
How do you spend the majority of your time at work or during your day?
Would you characterize your life as:
Please review this list and check those conditions that have affected your health either recently or in the past.