Consultation Intake Form

Thank you for taking the time to fill out this consultation form. I will review your responses and get back to you with a personalized quote and further details for the private yoga and/or yoga retreats.
Name*

First NameLast Name
Gender
Phone Number*

Area CodePhone Number
Email*
example@example.com
Privacy Policy: Currently, Lauren Ikeda Yoga  LLC. gathers information (such as name, e-mail, address, and zip code) strictly for contact purposes when users opt to fill out this form. By providing your email address, you consent to receive newsletters and other promotional communications from Lauren Ikeda Yoga LLC. You can unsubscribe at any time by clicking the link at the bottom of our emails. In some cases, other optional information including additional contact information and certain demographic information (such as phone number and gender). It is also crucial that each student provide information on health, previous injuries, or ongoing injuries for your safety while practicing yoga.
Which service are you interested in?

Yoga RetreatIn-person Individual Private ClassesVirtual Private ClassesSmall In-person Group ClassesCorporate Yoga Classes
Private Yoga Session Duration

30 Minutes45 minutes60 minutesCustom/Retreats
Number of participants
Where would you like to hold classes? (Please include address if in-person or note if you would like virtual classes.)
Please note which days and times you would like to hold class/classes.
What are your main reasons for seeking private yoga or retreats?
Have you practiced yoga or meditation before? If yes, please provide some details about your experience level. If no, are you open to trying these practices?
Are there any specific areas of focus or goals you would like to address during the sessions (e.g., stress reduction, flexibility, mindfulness, etc.)?
Are there any additional information you would like to share or any questions you have?
How did you hear about Lauren Ikeda Yoga LLC.
Should be Empty: