YOGA WITH ALEXANDRA Joining Form Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone Date MM DD YYYY Emergency Contact First Name Last Name Relationship to emergency contact Email Phone Before you begin this section, set a timer for a minute. Spend that time focused on your breathing and the sensations in your body with your eyes closed then begin the questions. Why did you decide to book a session? Do any specific goals/ issues come to mind straight away? How do you feel in your body at the moment? What feels good/ strong/ balanced? What feels like it needs more attention? How strongly do you feel connected to your body on a scale of 1 - 10? How are you feeling in your life at the moment? Energised/ tired/ restless/ calm/ inspired etc... What is your experience with yoga? Why do you enjoy it? Do you have a preferred style? Have you had any injuries/ operations/ conditions I should know about? How often do you move/ exercise? How active is your life on a scale of 1-10? What is your favourite way to move? Do you want to focus more on strength, flexibility or both? In the relaxation at the end of the class do you prefer it to be: guided all the way through, guided only and the beginning and then quiet resting time or quiet inner meditation all the way through? Are you interested in the mental or spiritual aspects of yoga? Would you like to include: pranayama, chanting, longer shavasanas (relaxations), visualisations? Thank you for taking the time to fill out this form. I look forward to our lessons together!