Introduce Yourself This intake is intended to help us get to know more about you, what your goals are so that we can do our best to help guide and support you on your yoga journey. You do not need to answer every question on this form. If something doesn’t make sense for you, just skip it. Give as little or as much detail as you like. The more we get a sense of where you are coming from the easier it will be for us help get you where you want to go. If you would like to do this together over the phone, send us an email and we will schedule a time together.Name First Last Email PhoneWhere in the world are you? Have you visited our studio before? Yes No On a Scale of 1-10 what is your stress level?1 being the lowest level of stress, 10 being the highest 1 2 3 4 5 6 7 8 9 10 On a Scale of 1-10 what is your energy level?1 being the lowest level of energy, 10 being the highest 1 2 3 4 5 6 7 8 9 10 What do you want us to achieve together? What are your goals?Be specific, Ex. If you want to feel good, what does feeling good mean to you?Specific — Lifestyle GoalsSpecific — Body GoalsHow long do you realistically think it will take to achieve these goals?What are you doing right now to reach these goals?Is this working? Yes No Everyone has something that has the potential to stop them. What obstacles do you foresee standing in your way?Who is in your support system? Who is going to hold you accountable and keep you going strong?Are the members of your support system in favor of you reaching your goals?NameThis field is for validation purposes and should be left unchanged. Δ
