Wimbledon Yoga | Alex Williams Yoga

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ALEX WILLIAMS WELLNESS

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1. Do you have any current or past injuries or medical conditions (e.g. back pain, joint issues, surgery, heart conditions, high blood pressure, etc.)?

Yes

No

If yes, please specify.

Are you currently pregnant or postpartum?

Yes

No

Do you experience any of the following? (Check all that apply)

Asthma / breathing difficulties

High or low blood pressure

Joint pain or arthritis

Anxiety / depression

Chronic fatigue

Migraines / headaches

Digestive issues

Are you currently taking any medication that may affect your practice? If so, please detail.

Have you practiced yoga before?

Yes

No

Regularly

Other

What are your primary goals for your 1-2-1 yoga sessions?

Increase flexibility

Build strength

Improve posture

Improve technique

Reduce stress / anxiety

Support pregnancy / postnatal recovery

Manage pain or injury

Spiritual growth / mindfulness

Other

Are there any areas you’d like to focus on or avoid in your sessions?

Is there anything else you’d like me to know before we begin?

Consent:

I confirm that the information I have provided is true and complete.
I understand that yoga involves physical movement and I take full responsibility for my body and communicate with my teacher about any concerns or discomfort.
I understand this session is not a substitute for medical advice.

*

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CONTACT ME

Thanks for submitting! We’ll send you a price quote soon.

Alex Williams Wellness

Alex@alexwilliamsyoga.com

©2022 by Alexandra Williams Wellness.

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