New Yoga Students Please fill out and submit this form. Type ‘no’ if the question does not apply, or you prefer not to answer. Name(required) Email(required) Telephone number: Age / Occupation(required) Your yoga experience(required) Which yoga level best describes you? Fit and able Beginner Fit and able Experienced Older Person: Fit and Able Beginner Older Person with Health or Mobility Issues Are you currently receiving any medical treatment or taking medication?(required) Please tick if you have any of the following conditions. Use the text box to tell me about any condition not mentioned or post-Covid symptoms you are experiencing.(required) Heart Disease Cancer or Benign Tumour Epilepsy Hypertension Depression ME MS Meniers Disease AIDS Diabetes Detached Retina Recent post-operative conditions Low blood pressure High blood pressure Are you pregnant? Do you have any muscle or joint problems?(required) Please check with your medical practitioner before joining the classes if you have any medical conditions. Please type your name below to show that you have read and understood these questions.(required) Submit Δ
Iyengar Yoga Teaching & Training