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Full name *

First

Last

Date of Birth (DD/MM/YYYY) *

Address *

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City

State

Zip Code

Country

Email address *

Telephone *

Occupation *

What are your goals for attending yoga, meditation and Pilates classes? *

Do you exercise regularly? *

Yes No

If yes, what exercise? *

If you have done yoga before, what is your experience and what did you enjoy about it the most? *

Medical Background

Have you ever been told that you have arthritic joints or any bone defect? *

If yes, please give details: *

Have you had any operations or injuries in the last year? *

If yes, please give details: *

Do you suffer from backache? *

If yes, please give details: *

Do you have any other aches or pains in your body? *

If yes, where, have you received medical advice and what makes it worse? *

Are you pregnant or have you had a baby in the last 6 months? *

If yes, please give details: *

Informed Consent

I understand I must inform my tutor of any changes to my health or ability to exercise and that I should refer back to a medical practitioner if I have any doubts as to safe participation. I agree to listen to my body and participate in classes entirely at my own risk.

I agree to the use of hands-on assists during practical classes *

Yes No

I agree to photos and videos being used for commercial purposes *

Yes No

I agree to my e-mail being added to the ThankfulFlow Yoga database *

Yes No

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T: +44 7585 263464
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YOUR CART

Pre-Class Questionnaire

Yoga Health Questionnaire​ALL INFORMATION WILL BE TREATED CONFIDENTIALLY

Informed Consent

Book A Class

Our latest offerings

GET IN TOUCH

​T: +44 7585 263464E: [email protected]

QUICK LINKS

Classes​One-To-One Meditation​CorporateTestimonials

FOLLOW US

Yoga Health Questionnaire

ALL INFORMATION WILL BE TREATED CONFIDENTIALLY

T: +44 7585 263464
E: [email protected]

Classes
One-To-One Meditation
Corporate
Testimonials