|
|
YOGA QUESTIONNAIRE
All the Information given is confidential to your tutor and no part of it will be disclosed or discussed with any individual or organisation
|
|||||||
|
|
||||||||
|
Full Name
|
Date of Birth / / |
|||||||
|
|
||||||||
|
Address ………………………………………………….…………… ………………………………………………….....…….. ……………………………………………………..…….. ………………………………………………………...…. ……………………………………………………………… ……………………………………………………………… Post Code …………………………………………… |
|
Contact Details |
||||||
|
Telephone day |
||||||||
|
|
||||||||
|
Telephone evening |
||||||||
|
|
||||||||
|
|
||||||||
|
|
||||||||
|
|
||||||||
|
Are you an absolute beginner |
Yes |
No |
|
|
||||
|
|
||||||||
|
Have you attended a yoga class before |
Yes |
No |
|
|
||||
|
|
||||||||
|
Do you participate in any physical activity. ie; keep-fit, swimming, badminton, cycling etc. ? …………………………………………………………………………………………………………………………… ……………………………………………............................................................................................................................................…………
|
||||||||
|
How regularly do you do this? …………………………………………………………………….……………….............................................……………..........................……..
|
||||||||
|
|
||||||||
|
Do you know of any medical condition/treatment why the practice of the physical side of yoga, which at times may be strenuous, may be unwise ? ………………………………………………………………………………………………………………………………………..................………………… ………………………………………………………………….............................................................................………………… |
||||||||
| Yoga covers a wide range of disciplines: flexibility, mental control, bodily health, awareness, etc - which of the following areas of development most interests you (tick as appropriate) | ||||||||
| Physical | Mental | Spiritual | ||||||
| Mainly ........ | Mainly ........ | Mainly ........ | ||||||
| Some ........ | Some ........ | Some ........ | ||||||
| Not at all ........ | Not at all ........ | Not at all ........ | ||||||
|
Is there anything else that may be of interest to your yoga teacher ?. ........................................................................................................................................... ............................................................................................................................................ |
||||||||
| Signed
|
Date | |||||||
