PRIVATE YOGA LESSONS – INTAKE FORM

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If you are interested in private yoga therapy lessons, please complete this brief intake form. Please also do not hesitate to call us at 424-835-1168 for a FREE 30 minute consultation. We look forward to serving you!

 

Your Name*

Your Email*

Phone*

Are you interested in sessions at the studio (10001 Venice Blvd, Los Angeles, 90034) or in your home?
Note: A commute fee may be waived depending on your home location.
studiohome

 

If home session, please provide address:

What is your general availability?

 

What frequency for training are you considering? (How many times a week?)*

Are you currently experiencing any aches and pains? If so, please describe.*

What are your health goals with private yoga sessions?*