Application form

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Preferred Contact Method* This field is required.

(Email, Phone, Other)

4

What type of private session are you most interested in?* This field is required.

Yoga Philosophy Mentoring

1:1 Asana Coaching

Yoga Teacher Mentoring

Private Yoga Therapy

Breathwork Coaching

Healing through Yoga Energy Work

Other (please specify)

5

What are your primary goals for this session?* This field is required.

(e.g., improve teaching skills, manage stress, deepen understanding of yoga philosophy, address a specific health concern, etc.)

6

Have you worked with a private yoga or coaching practitioner before?* This field is required.If yes, please share a bit about your experience.

7

What specific challenges are you facing that you’d like to address in the session?* This field is required.

8

What is your current level of experience with yoga and/or breathwork practices?* This field is required.

Beginner

Intermediate

Advanced

Other (please describe)

9

Are there any physical or medical conditions you’d like me to be aware of before we begin?* This field is required.

10

Do you prefer an in-person session at the studio or an online Zoom session?* This field is required.

11

What days and times generally work best for you?* This field is required.

12

Is there anything else you’d like me to know about you or your goals for these private sessions?* This field is required.