1:1 Single Session Application Form
with Jaylyn Bernachi | innerswim | firstname.lastname@example.org
Which service are you most interested in?
Yoga & Yoga Therapy for Women
Menstrual Cycle Medicine
Yoga Nidra & Meditation
Yoga Teacher Support
Why does a 1:1 session appeal to you?
Do you have any experience or history with these practices/services? If so, please briefly explain.
What do you hope to gain from your 1:1 session?
In a sentence, where are you now in terms of your health, spirituality, relationship to self?
Please fill out a list of dates & times that could work for you for our session.
Will our session be taking place virtually or in-person?
In-Person (I am local/travelling)
Is there anything else you would like to share?
Thank you! I will be reaching out shortly.
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