Online private yoga registration form

Is this your first time practising yoga? *

Yes

No

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How long have you had a consistent yoga practice?

Less than 6 months

6 months to 1 year

1 to 3 years

3 to 5 years

More than 5 years

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Are you currently a member of another yoga studio or fitness centre? *

Yes

No

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Do you have any medical or physical conditions that may prevent you from engaging in physical exercise? *

Yes

No

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Do you currently have any injuries? *

Yes

No

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If you are female, are you currently pregnant? *

Yes

No, N/A

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How many weeks into your pregnancy?

Are you currently exercising or practising yoga regularly? *

Yes

No

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How often?

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Action plan

What are your primary interests and/or yoga goals for taking Online Private Yoga classes? You can choose more than one option. *

Lose weight

Reduce stress

Increase energy

Tone & firm

Sleep better

Rehabilitate injury

Increase flexibility

Build muscle and increase strength

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What is your preferred schedule for the Online Private Yoga classes? You can choose more than one option. *

Morning

Lunchtime

Afternoon

Evening

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Saturdays

Sundays

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What are your preferred time slots? You can choose more than one option. *

6am-9am

9am-12pm

12pm-2pm

2pm-6pm

6pm-9pm

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Please also list what country you are in for time zone considerations *

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What is the total number of classes you wish to have per week? *

1 to 2

3 to 4

5 or more

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Which gender would you prefer for your Pure Yoga teacher? *

Male

Female

No preference

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Please pick your preferred language of instruction. You can choose more than one option. *

Mandarin

Cantonese

English

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Any other important information you would like to provide for your Online Private Yoga classes?

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If you already have a preferred teacher, please let us know their name. Otherwise, we will find a suitable teacher based on your provided information. Please note that not all Pure Yoga teachers are available for Online Private Yoga

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