Private Yoga Classes Form | DBT of South Jersey

Private Yoga Classes

First Name

Last Name

Have you ever practiced yoga before? If so, tell us about your experience.

Have you ever practiced mindfulness or meditation?

Yes

Do you currently or previously work with an individual therapist?

Yes

Have you ever undergone treatment for trauma?

Yes

Do you have any current/previous injuries, health concerns that you think we should be aware of?

What is your reason for requesting private yoga sessions?

I am a beginner and want to practice in a one-on-one comfortable environment

I am an intermediate level and want to deepen my practice

I feel apprehensive about being in a group class

To address individual concerns and goals

Other (describe below)

Other reason(s):

What else would you like to work on?

Private Yoga Classes