WellBri-ing
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My Philosophy
My Experience
Welcome
About
My Philosophy
My Experience
WellBri-ing
Connect
Resources
Private LEsson Questionnaire
Please feel out the questionnaire to apply for private yoga sessions.
Name
*
First Name
Last Name
Email Address
*
Phone
*
(###)
###
####
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Relationship
*
Please describe a typical day and/or week with regards to your work activities.
*
This includes lifting, sitting, standing, computer work) and various movement activities, like what type of exercise do you do, how often, etc.
Please describe any health issues or concerns, such as injuries, illnesses, areas of tightness/discomfort, etc.
*
What do you hope to gain from private yoga sessions?
*
What would you like to work on in our session(s)?
*
Anything else you'd like to add?
Please check below times you are generally available. We can work out the details later, including if none of these work for you.
*
Monday Mornings
Monday Afternoons
Tuesday Mornings
Tuesday Afternoons
Wednesday Mornings
Wednesday Afternoons
Thursday Mornings
Thursday Afternoons
Friday Mornings
Friday Afternoons
Saturday Mornings
Saturday Afternoons
Choose a different time together
Is there anything else you'd like to add about your availability?
Thank you!
