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How Are You Feeling?

It’s important that we get information about your physical readiness to undertake an activity like yoga BEFORE you participate in one of our classes or events, so please take a few moments to complete the form below.

Do you have epilepsy?

Do you have diabetes?

Do you have high or low blood pressure?

Do you ever lose consciousness/ feel dizzy / have problems with balance?

Do you, or have you had a heart condition?

Do you suffer from chest pain?

Do you experience shortness of breath?

Do you have any joint or skeletal problems, (including, but not limited to osteoporosis, osteopenia, arthritis)?

Have you had any surgery in the last 6 months?

Have you had gastric band surgery in the last 9 months

Do you have/experience depression, anxiety or another mental health condition?

Are you pregnant or have you recently had a baby?

Do you have any allergies?

Do you experience any other issues or problems not listed above ?

Have you done any yoga before?

Yes

Do you do any other exercise or sport?

Yes

I realise that my body’s reaction to exercise is not totally predictable. Should I develop a condition that affects my ability to exercise, I will inform my instructor immediately and stop exercising if necessary. I take full responsibility for monitoring my own physical condition at all times. Accept as a condition of attending classes?

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