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New Client Wellness Consultation
Your First Name
Your Last Name
Pronouns
Your Email
Mobile Phone Number
To help us best meet your needs, please answer the the following questions:
Tell us a little about your current or past experiences with yoga, fitness, or other wellness practices.
What would your dream health and wellness routine look like if time and money were no issue?
Which of the following words describe how you feel about your current health and wellness routine?
Joyful
Stressed
Confident
Intimidated
Consistent
Haphazard
Energizing
Draining
Rewarding
Frustrating
Sustainablc
Unrealistic
Nourishing
Depleting
Look back at the descriptive words above. What feelings or experiences about your health and wellness routine do you wish you had right now?
What do you think is getting in the way or keeping you from having positive feelings or experiences in your health and wellness routine?
What days and times are you regularly available for attending classes?
Is there anything else we should know that would help us create an optimal and safe learning environment for you?
I agree to be contacted at the information above via sms text or email.
Click Here to Schedule Your Free Consultation
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