Yoga Quiz

1

What's your name?* This field is required.

First Name

Last Name

2

What's the best email to contact you?* This field is required.

example@example.com

3

What's the best phone number to contact you?* This field is required.

Please enter a valid phone number.

4

Do you live within 7-mile radius of the studio?* This field is required.2725 N. Thatcher Ave, River Grove, IL 60171

YESNO

5

How would you rate your physical health and abilities?* This field is required.

1
2
3
4
5
6
7
8
9
10

Poor

Excellent

6

Ideally, how many times per week do you want to exercise?* This field is required.

1-2 times per week

3-4 times per week

5-7 times per week

7

While yoga is an all-encompassing practice, what would you say is the #1 intention for your practice?* This field is required.

Mental Health and Stress Management

Fitness and Strength

Spirituality

8

What is/are preventing you from exercising more often?* This field is required.Select up to 5

Lack Time

Lack Motivation

Money

Lifestyle

Family Commitments

Lack Community / Support

Career

Injury/Health Issues

Accessibility (Eg, no studios nearby, transportation, etc.)

9

Have you practiced yoga before?* This field is required.

YESNO

10

Do you have any injuries or do you need any accommodations when exercising?* This field is required.Eg, knee pain, pregnancy, etc.

YESNO

11

Please briefly describe your injuries or the accommodations you need?Eg, knee pain, pregnancy, etc.

12

What days are you most likely to be available to take classes?* This field is required.

Weekdays

Weekends

All Week

13

When during the day are you most likely to be available to take classes?* This field is required.

Morning : Between 7am-12pm

Afternoon : Between 12pm-5pm

Evening : Between 5pm-9pm

14

Do you prefer private or group classes?* This field is required.

Private

Group