Name

First Name

Last Name

What are your current fitness + health goals?

Strength numbers you want to achieve, a skill you want to learn, weight you want to shed, an event you’re getting ready for, pregnancy, etc

Why do you want to add yoga into your workout routine? What do you want to achieve during our sessions?

What style of yoga are you wanting to focus on during our sessions?

Vinyasa (Flow)

Restorative/Yin (holding poses for 1-3 min)

Do you have any previous injuries? If so, explain when they occurred and how they are managed/healed now.

List any surgeries that may affect your workout performance

Are you pretty sedentary or active during your job/throughout the day?

Rate your average stress level on a day to day basis: (1 Being the Lowest, 5 being the highest). Stress Includes: work, family/relationships, diet, relationships, sleep,

Is there anything else you would like me to know that you would like to share that would benefit your workout program?