Before coming to yoga classes, please could you complete the form below so I know a little bit about you and can adapt the class according to your needs.  Thank you

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* 1. Contact information ( I will only contact you to notify you if classes are changed for any reason)

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* 2. Age group

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* 3. During the day for your occupation are you ...

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* 4. What are your reasons for coming to yoga classes?

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* 5. Previous yoga experience

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* 6. Do you experience any of the following ?  (this information is to keep you safe practicing yoga and will be kept strictly confidential)

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* 7. If you are a woman, are you

Thank you.  This information will be kept private and you have the right to have it deleted from record at any time.

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