Private Yoga Intake Form

Thank you for taking the next step to take care of your body, mind, and soul. Please take a moment to fill out this form in preparation for your session and complete it 24-hours prior. I look forward to working with you.


Everything shared in this form and in our sessions is confidential. If you are being harmed, plan to harm someone else, or plan to harm yourself, I am required by law to break confidentiality to make sure you get the help you need.