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* 1. I have taken class with Rebecca at:

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* 2. If another weekly class was added, I'd like it to be:

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* 3. My preferred weekly class time:

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* 4. My preferred day(s)/time(s) of the week for weekly classes (select all that apply):

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* 5. I'd like Restorative Yoga:

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* 6. I'd like Monthly Restorative Yoga to be held (select all that apply):

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* 7. Which of the following workshops or series topics interest you?

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* 8. How familiar are you with Ayurveda?

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* 9. I am interested in workshops on Ayurveda:

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* 10. I'm interested in an Ayurvedic health consultation:

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