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* 1. First and Last Name

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* 2. Email Address

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* 3. Phone Number

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* 4. Level of yoga experience

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* 5. Attendance intentions

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* 6. Do you have a specific goal? If yes, please explain.

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* 7. Are you new to yoga through Self-Help Connection?

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* 8. Have to participated in yoga through Self-Help Connection before? If yes,
approximately how many sessions?

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