Wimbledon Yoga | Alex Williams Yoga

top of page

ALEX WILLIAMS WELLNESS

Home
About Me
Yoga with Alex
Contact Me
Free Meditation
More

Use tab to navigate through the menu items.

Welcome! Before we begin, I’d love to understand a little more about you and your current season of life. Please answer the following thoughtfully — there are no right or wrong answers.

First name*

Last name*

Email*

Phone*

Emergency Contact

Birthday

Day

Month

Year

What is your occupation & work pattern (remote/in office/hybrid)

Do you have any current or past injuries or medical conditions that you have or are currently receiving treatment for?

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.

How often do you exercise? *

1/2x per month

1x p/week

2-3x p/week

4+x p/week

Have you practiced yoga before?

Occasionally

Never

Regularly

Do you currently work on stretch/mobility?

Yes - 15+ mins several times week

Yes - few times a month

No

Other

How would you describe your stress levels at present?

Low

Moderate

High

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.

*

Signature*

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

CONTACT ME

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

Alex Williams Wellness

.pro-gallery-wix-wrapper {display: block !important;} .pro-gallery-wix-wrapper .gallery-item-container {opacity: 1 !important; display: block !important;}

Follow me

@alex.williams.wellness

Alex@alexwilliamsyoga.com

©2022 by Alexandra Williams Wellness.

bottom of page