Health Questionnaire | Yoga in East Sussex

First Name*

Last Name*

Email*

Phone Number*

Emergency Contact*

Age Group*

Have you done yoga before?

Do any of these health conditions apply to you?

If you answered yes to any of the conditions above, please give details including how recent

Do you have any other conditions or injury which affect your mobility or are likely to cause you concern when doing yoga?

What physical activity do you currently do and how often?

What are your goals for coming to yoga?

How did you first hear about this class?

Confirm your responsibility*

I take full responsibility for my health during the yoga classes. I will inform my yoga teacher of any medical changes.

Confirm information is correct*

I confirm that all information provided above is correct and up to date to the best of my knowledge.

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I agree to receive class updates and newsletters from Rowan Yoga (your information will not be shared with any 3rd party entities).

What are you interested in?

Data Privacy*

I consent to my submitted data being collected and stored (read our Privacy Policy to find out more)*