Private Yoga Pre-Assessment Form

I'd love to learn more about you! Please take 5-10 minutes to answer the following questions. Your answers will shape our first session and will complement the initial consultation. 

Name *
Name
In a typical week, I feel grounded and comfortable in my body. I am able to relax and be still. Overall, I am healthy and I feel safe.
In a typical week, I feel grounded and comfortable in my body. I am able to relax and be still. Overall, I am healthy and I feel safe.
I am open to change. I enjoy life to the fullest and think of myself as creative.
I am open to change. I enjoy life to the fullest and think of myself as creative.
In a typical week, I feel confident and energetic.
In a typical week, I feel confident and energetic.
Overall, I am a loving and compassionate individual. I approve of myself. I feel peaceful and healthy.
Overall, I am a loving and compassionate individual. I approve of myself. I feel peaceful and healthy.
I am a good listener. I am able to communicate through speaking and writing well. My voice is clear and even.
I am a good listener. I am able to communicate through speaking and writing well. My voice is clear and even.
I am imaginative and am able to visualize abstract concepts or ideas. I remember my dreams.
I am imaginative and am able to visualize abstract concepts or ideas. I remember my dreams.
I am open to knowledge. I enjoy learning, analyzing, and sharing new information. I feel spiritually connected.
I am open to knowledge. I enjoy learning, analyzing, and sharing new information. I feel spiritually connected.