Create a practice with us

Name *

First Name

Last Name

Phone *

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Date of Birth *

MM

DD

YYYY

Location? *

Where would you like to have your sessions

In Studio

At Home

Experience with Yoga *

New to yoga

Beginner

Intermediate

Advanced

Primary Goals for Private Yoga *

Select all that apply:

Increase Flexibility

Build Strength

Stress Relief

Improve Balance and Coordination

Develop Mindfulness and Relaxation

Ehnance Energy Levels

Injury Recovery or Pain Management

Other

What are your main goals for each session? *

Select all that apply:

Physical Conditioning

Mental Clarity

Spiritual Growth

Relaxation and Stress Relief

Posture Improvement

Specific Focus or Skill Focus

Injury Recovery or Pain Management

Other

What type(s) of yoga are you most interested in exploring? *

Select all that apply:

Hatha (traditional, gentle flow)

Vinyasa (flow-based, dynamic)

Yin/Restorative (deep relaxation, stretching)

Power Yoga (high energy, fitness-focused)

Posture Improvement

Ashtanga (structured sequence)

Not sure / Open to recommendations

Other

Preferred Class Environment *

Select all that apply:

Calm and meditative

Balanced with active and restful parts

High energy and challenging

Other

Desired Level of Physical Intensity: *

Select all that apply:

Low (relaxing and restorative)

Moderate (a blend of gentle and active)

High (vigorous and physically challenging)

Other

Typical Personal Energy Levels: *

Select all that apply:

Low

Moderate

High

Today's Date *

MM

DD

YYYY