PRIVATE SESSION ENQUIRY
All information will be treated in the strictest confidence.
WHICH KIND OF SESSION ARE YOU INTERESTED IN?
*
PRIVATE YOGA
TEACHING MENTORSHIP
FULL NAME
*
FIRST NAME
LAST NAME
E-MAIL
*
myname@example.com
PHONE NUMBER
*
INCLUDE COUNTRY CODE IF NOT FROM UK
DATE OF BIRTH
*
/
Day
/
Month
Year
TYPE OR SELECT FROM CALENDAR
HOW OFTEN DO YOU CURRENTLY PRACTICE YOGA EACH WEEK?
*
0-2
3-4
5-6
MORE
IF YOU ARE A TEACHER, HOW MANY CLASSES DO YOU CURRENTLY TEACH?
I do not teach
0-2
3-4
5+
WHAT STYLE(S) OF YOGA DO YOU ENJOY PRACTISING OR TEACHING?
*
ARE THERE SPECIFIC THINGS IN YOUR YOGA PRACTICE OR TEACHING THAT YOU WOULD LIKE TO EXPLORE WITH TAYLOR
*
WOULD YOU LIKE TO WORK IN-PERSON OR VIA ZOOM?
*
IN-PERSON
ZOOM
BOTH
HAS YOUR DOCTOR EVER SAID YOU HAVE ANY HEART/CHEST ISSUES?
*
YES
NO
ARE YOU, OR COULD YOU BE PREGNANT?
*
YES
NO
ARE YOU CURRENTLY ON ANY MEDICATION THAT COULD AFFECT YOUR HEALTH WITH A CHANGE IN YOUR PHYSICAL ACTIVITY?
*
YES
NO
DO YOU SUFFER FROM ATHSMA, DIABETES OR EPILEPSY?
*
TYPE NO IF NOT APPLICABLE
HAVE YOU HAD ANY MAJOR SURGERY IN THE LAST 5 YEARS?
*
TYPE NO IF NOT APPLICABLE
IS THERE ANYTHING ELSE YOU ARE CONCERNED ABOUT BEFORE STARTING?
*
TYPE NO IF NOT APPLICABLE
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