Name * First Name Last Name Email * Age Group Under 18 18-24 25-34 35-44 45-54 55+ What are your primary goals for attending these classes? (Select all that apply) Relaxation and stress relief Improving flexibility Building strength and endurance Mind-body connection Breathwork and mindfulness Other [Please specify in message field] Do you have any current or past injuries, or health concerns I should be aware of? Yes (please describe) No Are there any specific areas of your body that you’d like to focus on or need special attention? Shoulders and neck Back and spine Hips Knees Other: [Please specify] How comfortable are you with receiving verbal corrections during the class? I welcome corrections to improve my practice. I’d rather avoid corrections and prefer to focus on my own experience. Do you have any previous experience with yoga, breathwork, or mindfulness practices? Beginner Some experience Intermediate Advanced Is there anything else you’d like me to know to make this class more comfortable or supportive for you? Thank you!