Health Questionnaire

Thank you for taking the time to fill out this form and help me to better understand your health background and yoga wellness goals.
All information provided will be used ethically and not disclosed to a third party.

Please answer the questions below detailing any health issues. This will assist your teacher to meet your needs.
Do any of these health conditions apply to you?


By taking part in a yoga class with Yoga 4 Life you acknowledge that:
  • You will show kindness and compassion to your body, mind and spirit throughout the practice.
  • You will respect privacy, safety and personal space.
  • You will only engage in activities that you are physically & mentally fit and able to take part in.
  • You will follow all instructions provided by the instructor during the class.