Intake form

Help us serve you better

Name *

Email address *

What is your age group?

What are your primary goals for yoga therapy?

Please select at least one option.

Stress relief

Increase flexibility

Enhance strength

Improve balance

Achieve inner peace

Do you have any previous experience with yoga?

What is your current level of physical activity?

Do you have any medical conditions we should be aware of?

Are you currently taking any medications?

How did you hear about magic feel yoga therapy?

What days and times are you available for sessions?

Additional questions or comments

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Magic Feel Yoga Therapy