Health Form

Health & Booking Form

To ensure your Practice is safe and appropriately planned for your needs, please complete the form below.

Your Name

Your Email

Tel No (Home)

Tel No (Mobile)

Date of Birth


Which Yoga Cloud Course are your booking?
(Date / Venue / Length / Level)

Are you taking any form of medication that may have some bearing on your yoga practice?

Have you practised yoga before?
(If Yes, I would like to know more eg Styles / level, length of time etc)>br />

What would you identify as the major cause of stress in your life at the moment?

Physically, where do you feel your strengths and weaknesses lie?

What do you ususally do to relieve this stress?

Do you have any illness, medical condition or disability?
(Yes / No - If yes, please state details)

Do you currently do any exercise?
(What? How long?)

Have you suffered any injury or undergone any surgery that may have some bearing on your yoga practice?

What are you hoping to discover or work with on the course Mind, Body or Spirit?

or you download the form here and return to ahead of your first Practice x