Health Questionnaire

Full Name

Date of Birth

Have you ever done yoga before?

If yes, what style?

How many years have you been practising?

What other physical activities do you undertake on the weekly basis and how often?

What aspects of yoga interest you

Do you have any of these conditions

Where did you hear about Wind Valley Yoga?

Do you have any other conditions which affect your mobility or are likely to cause you concern when practising physical postures or breathwork?

By signing this form, I take full responsibility for my health during yoga classes, including any injuries.
I will inform my yoga teacher of any medical changes.
All information provided herein is strictly confidential and it will not be forwarded to any third party.

I agree to receive updates from Wind Valley Yoga in form of ocassional newsletter

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