1:1 Personal Yoga sessions with Eric Bennewitz

1:1 Personal Yoga sessions

Welcome to your personal yoga session(s) with Eric. In order to facilitate the best result for your sessions, I have developed this simple questionnaire to aid us both in recognizing the main desires of your yoga, pranayama or meditation practice at this time. The information you provide below and in our sessions is completely confidential. The more honest you are in these sessions, the more we can pinpoint the areas of work that we should focus on in relation to your desires. Keep in mind, this is simply a starting point, your needs and desires and our focus of study may change over time and we will address that as it arises or as requested by you.
Full Name

First NameLast Name
Email Address
example@example.com
Date of Birth

DayMonthYear
Date
Address

Street Address

Street Address Line 2

City

Postal Code
Health Information

Please answer the following questions to help me understand your health history.
Do you have any existing medical or health conditions? Please describe.
Are you currently taking any medications that would effect your Yoga, pranayama or meditation practice?
Yoga Experience

Please share with me your yoga, pranayama and/or meditation experience.
Do you currently practice yoga?
Do you currently practice breathwork or pranayama?
Do you currently practice meditation?
What styles of yoga, pranayama and/or meditation do you currently practice?
What other physical/fitness activities do you do? How many times per week? For how long each time?
What would you like guidance with in our 1:1 Personal Yoga session(s)? (examples: yoga, pranayama, meditation, injury, holistic lifestyle). Please describe in detail.
Do you have any concerns about being touched or being adjusted in yoga poses?
Do you have any of the following yoga props at your home?
How did you hear about Eric Bennewitz?

Other
How many 1:1 Personal Yoga sessions are you interested in presently?
Additional Information (example: illnesses, work habits, emotions, energy level, etc.)
1:1 Personal Yoga | Guidelines & Terms & Conditions
Guidelines:

To make our 1:1 Personal Yoga sessions as productive as possible together, please follow these guidelines:
- Eat 2-3 hours before our session, so that digestion is not disturbed.
- Wear comfortable yoga clothing that is not too tight or too loose.
- Remove any jewelery before a session.
- Practice reviewed topics and techniques from your 1:1 Personal Yoga session as needed until the next Personal Yoga session.
- Bring any personal items with you (example: water, towel, change of clothing, snacks, notepad etc...)
- Feel free to ask questions.
Terms & Conditions:
- Initial consultation sessions are 30 minutes via Google Meet or WhatsApp video to discuss client needs and review client survey. The cost is 30€ and is invoiced to the client via e-mail after the session is completed.
- All follow-up sessions are 60 minutes in duration.
- Please arrive on-time for any 1:1 Personal Yoga sessions as extra time will be invoiced via email to you. (60 minutes per session).
- Re-schedule or cancel a 1:1 Personal Yoga session no later than 24 hours before the scheduled session by emailing info@ericbennewitz.de. If not, an invoice will be sent for the 60 minute session missed. This also applies to no-shows.
- Payments can be made via bank transfer to Eric Bennewitz within 10 days of the most recent session. A payment e-mail will be sent to the client upon completion of the session. Sessions can also be paid in cash on the day of the session before it begins.
- All follow-up sessions are conducted either online via Google Meet or WhatsApp video, at clients home (if within 10km of Eric's home) or on-site at a local yoga or fitness studio. First choice if available is always an on-site local yoga or fitness studio chosen by Eric.
- Any Cancellations by Eric due to illness or vacation will be done so within 24 hours of a client session via e-mail and any payments made will be fully refunded via bank transfer to the client account.
- Eric has the right to adjust or cancel any scheduled client session within 24 hours of the client session.
- All personal information shared with Eric is completely confidential.
- Any unresolved disputes regarding personal conduct or non-payments will follow the jurisdiction and laws of the State and City of Hamburg.
I have read and agree with the Guidelines and Terms & Conditions above:
Eric Bennewitz Yoga Teacher Certification
Eric Bennewitz is certified as an RYT-500 Yoga Teacher with Yoga Alliance. Eric has over 20 years of yoga, pranayama, yoga lifestyle and meditation practice and teaching experience to benefit client needs and desires.
Release Waiver of Liability and Agreement
From the Client,

I understand that yoga includes physical movements as well as an opportunity for relaxation, stress reduction and relief of muscular tension. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely prevented. If I experience any pain or discomfort, I will listen to my body, adjust the posture and ask for guidance from Eric Bennewitz.

Yoga is not a substitute for medical attention, examination, diagnosis or treatment, but could be used in conjunction with any of these. Yoga is not recommended and is not safe under certain medical conditions. I affirm that I have been checked by my doctor and cleared to practice yoga, pranayama or meditation techniques prior to signing up for 1:1 Personal Yoga sessions with Eric Bennewitz. I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against Eric Bennewitz.
I have read and agree with the Release Waiver of Liability and Agreement above:
Review full Terms & Conditions of Eric Bennewitz yoga, tantra yoga and meditation services here.
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Your Signature
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1:1 Personal Yoga sessions

Health Information

Yoga Experience

1:1 Personal Yoga | Guidelines & Terms & Conditions

Eric Bennewitz Yoga Teacher Certification

Release Waiver of Liability and Agreement