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FRIENDS & FAMILY

FREE TRIAL

Thanks for your interest in our Friends & Family Free Trial. 
Please complete the booking form below, selecting the session you wish to attend. Please also complete the health questionnaire shown further down the page. 
Should you have any questions please feel free to contact us.

Sorry, but this form is now closed.

Booking Form

Session Date

YOGA HEALTH QUESTIONNAIRE

Please fill out the following form to help us understand your physical condition.

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All the information I receive will be treated as strictly confidential. As with all exercise programmes, I advise that you contact your GP prior to attending your first appointment.

Do you take regular exercise?
Have you practiced Yoga before?
Are you pregnant?
Have you had an operation in the last 12 month?
Are you taking any medication?
How healthy do you feel in general? Please give a figure between 1-5, with 5 indicating full health
Please indicate if you have suffered or continue to suffer from any conditions that would impact your ability to practice yoga. Required

Thanks for submitting!

* Required
* Required
* Required
Health Questionnaire

Please fill out the following form to help us understand your physical condition.

​

All the information I receive will be treated as strictly confidential. As with all exercise programmes, I advise that you contact your GP prior to attending your first appointment.

Do you take regular exercise?
Have you practiced Yoga before?
Are you pregnant?
Have you had an operation in the last 12 month?
Are you taking any medication?
How healthy do you feel in general? Please give a figure between 1-5, with 5 indicating full health
Please indicate if you have suffered or continue to suffer from any conditions that would impact your ability to practice yoga.
*
*
*
*

Please note that Yoga Therapy is a complementary Therapy and is to be used in conjunction with medical advice provided for you by your GP or other professional body.

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Please indicate that you have understood that Tree Of Life Yoga Northants can take no responsibility for your medical health and that you have been guided by your GP as to whether it is safe for you to practice Yoga Therapy:

Thanks for submitting!

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