H2yOga - Contact

Name

Email

Best Contact Number

Best Time/Days to Reach You

Urgent?

Yes
No

Fun, Not-So-Fun & Funky Issues - What issues are you dealing with in your life right now

Medical History/Physical Issues - where are you coming from

Goals - where would you like to go / our journey togethet to take you

As you see it, what is currently getting in your way of you achieving these goals?

Is there somethign specific you'd like to learn or work on during this session. If yes, what is it?

Anything else you'd like me to be aware of before we start working together

I learn best when... (fill in the blank - this is a great place to let me know things like: you're ADHD or are a visual, auditory, or sensory learner if you know what you are, if you need things to be repeated or one thing at a time, to get them, etc)

I am not a robot

Please confirm

come play in your creative spring

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