Private Prenatal Yoga Request Form

Private Prenatal Yoga Request Form

PLEASE DO NOT FILL OUT THIS FORM UNTIL YOU'VE BEEN CLEARED BY YOUR DOCTOR TO ENGAGE IN THIS TYPE OF ACTIVITY WHILE PREGNANT OR POSTPARTUM. THANK YOU.
Prenatal Yoga has been scientifically proven to help decrease the duration of labor, lower chances of tearing during delivery, lower chances of needing an emergency C-section, lower blood pressure, and help to alleviate common prenatal ailments such as low back discomfort, sciatica, nausea, and fatigue. In addition, practicing Prenatal Yoga allows you to connect with your body and baby on a deeper level every step of the way during your pregnancy, while preparing you mentally for trusting in the power of your body to deliver your baby.
Postnatal Yoga, on the other hand, is designed to help you reconnect with your body after the transformational process of growing and delivering your baby. Postnatal Yoga can help to safely build your strength and confidence back, with a "core" focus on the sensitivities of the abdominal muscles after they have undergone the bulk of the energy required for your pregnancy. The experience, much like pregnancy, is just as emotional as it is physical, and the toll it takes on your mental health is just as important as the toll it takes on you physically. Allow yourself to love yourself again, through Postnatal Yoga.
Is this your first pregnancy?
How far along are you currently in your pregnancy?
When is your estimated due date?

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
When would you like to start your prenatal Classes with me?

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
How many days a week are you interested in taking private sessions?
Please select all ailments that currently apply to you.

Other
If "Other" was selected, please describe what you are referring to in detail, and any other specifications you'd like to add about the other ailments you selected.
Do you have any prior experience practicing Yoga? If so, for how long?
What goals do you hope to achieve through prenatal yoga?
How did you here about my services?
What is the best way to contact you to follow up? (Please select all that apply)
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Signature
Should be Empty: