Health Questionnaire

Have you practiced yoga before?
YesNo

Which aspects of yoga interest you the most
Physical PosturesRelaxationBreathworkMeditationChantingImprove health and wellbeingA bit of 'me time'Other (Please state below)

Do any of these health conditions apply to you?
High blood pressureLow blood pressure/faintingArthritisDiabetesEpilepsyHeart problemsAsthmaAnxietyDepressionDetached retina/other eye problemsRecent fractures/sprainsRecent operationsBack problemsKnee problemsNeck problemsRecent pregnanciesCurrently pregnant

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