Name

First Name

Last Name

Have you practiced yoga before *

Please select the option that's most suited to your experience.

Yes I practice yoga regularly

I haven't practiced yoga for a few years

I've practiced yoga a few of times

I've never practiced yoga before

Have you had personal training before? *

Yes

No

How often do you exercise/move your body *

Include walking, yoga, gym, cardio, HIIT, pilates, running, swimming, weight training etc.

Everyday

5-6 days a week

3-4 days a week

1-2 days a week

Never

What do you want to include in your sessions?

Just Yoga

Just Personal Training

Just Meditation and Breathwork

Yoga and Personal Training

Yoga with Meditation and Breathwork

Personal Training with Meditation and Breathwork

Yoga and Personal Training with a little Meditation and Breathwork

Cold Plunge and Breathwork

Everything - Personal Training, Yoga, Cold Plunge, Meditation and Breathwork

What are you hoping to work on? *

Click all that apply

Increased Strength and Tone

Increased Fitness and Stamina

Feel more confident in my own body

Lose weight healthily

Increased Flexibility

Increased skill in yoga poses