Client Consultation Form

At Oòṣàdíyà Wellness, we create unique experiences for all to enjoy the physical, spiritual, and mental benefits of yoga, sound healing, and more while celebrating culture and promoting wellness.

Our services include, but are not limited to:

Yoga Therapy: We work to empower you to make progress toward better health and well-being by applying Yoga's teachings and practices.
Private Yoga: We can tailor sessions for friends, sports teams, parties, and more.
Children's & Family Yoga: Children's yoga is a fantastic way to promote self-control and foster emotional well-being in our young ones. Creating a safe and engaging environment with age-appropriate yoga poses, relaxation techniques, games, and stories can help children develop bodily awareness, concentration, and stress management skills.
Corporate Yoga: We offer on-site and virtual yoga classes tailored to the needs and schedules of companies. Providing options such as:

-Desk Yoga
-Mindfulness Sessions
-Stress Relief Workshops
Meditation: Need to be led in individual or group meditation? We offer meditation sessions for both private settings and public events!
Sound Bath: This meditative experience immerses the client in the soothing vibrations of instruments like singing bowls and tuning forks. These harmonic sounds promote deep relaxation, reduce stress, and support emotional and physical healing.

Please complete this form so the team can understand your goals and create a personalized plan to support your wellness journey. Thank you for choosing Oòṣàdíyà Wellness!

Full Name

First NameLast Name

Name of Organization

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Date of Birth

Date

Sex

Gender

If "Prefer to self-describe" describe here:

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Emergency Contact Name

First NameLast Name

Emergency Contact Number

Please enter a valid phone number.Format: (000) 000-0000.

Do you have any existing medical conditions?

Are you currently taking any medications (prescribed or over the counter? If so, please list.

Are you currently taking any herbs, supplements, or vitamins? If so, please list.

Current Stress Level (1-low, 10-unbearable)

What are your sources of stress?

Is religion and/or spirituality important to you? If yes, how so?

Have you ever practiced yoga before?

Do you smoke?

What is your "why" for seeking services at this time? (ex: specific wellness goals)

What service(s) are you interested in receiving?

What's your preferred audience?

If "Other" describe here:

What's your preferred location?

Length of time for service?

Preferred Session Day

Date

Preferred Session Time

Hour Minutes

AM/PM Option

Is there anything more you'd like us to know about you?

Client Intake Form

Health Information

Our Time Together

Availability