Name:


Email (Optional):


I am older than 65 years old
This is my first month
I am a student

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Have you ever done yoga before?

Never
I have done it a few times
I have a strong practice

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Would you like to bring friends or family to your yoga sessions?

Yes No

Are you interested in exploring additional modalities, such as sound meditation or salt therapy?

Yes No

What is your desired frequency of sessions per week?

Twice a month
Once a week
2-3 per week
4+ times

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What are you looking for? (Select all that apply)

Flexibility
Pain Relief
Mental Clarity
Alignment
Increased Strength
Better Sleep
Reduce Stress & Anxiety
Increase Self-Awareness
Enhance Emotional Regulation
Weight Management

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Are you a business manager or owner who would like to support their employees?

Yes No

What is your preferred budget for your health per month?

Under $50
$50-$100
$100 or more

Submit

Thank you for your responses!

Here is a summary of your preferences: