Build a practice that’s as unique as you are. This form helps me decide if you are the right fit for this program. Plus if I am the right fit for you. I am prioritising due to limited numbers.
Click the button below to start.
Question 1 of 10
What is your full name, email, location (city and country) and phone number (if in Australia)?
Question 2 of 10
How did you hear about me and this program?
Question 3 of 10
What age bracket do you currently fall in?
18-21
22-30
31-39
40-49
50-59
60+
Question 4 of 10
Have you practiced yoga before? If so, please elaborate...If you haven't. What has prevented you? As I love to help people discover yoga and make it more accessible.
Question 5 of 10
What is your current biggest frustration with your health? And what are you hoping to achieve with this program?
Question 6 of 10
What do you think is your biggest obstacle to you achieving this goal?
Question 7 of 10
Would you be willing for your sessions to be used as a case study for my yoga therapy studies?(your first and last name are only required). It will cost you $36 (if paid before 1 April 2025). Otherwise the cost if $69 if paid before 1 April 2025).
Yes
No
Question 8 of 10
How committed are you to this program? 1 being not committed at all. 10 being more than 100%
1
2
3
4
5
6
7
8
9
10
Question 9 of 10
Would you like to subscribe to my email list (if you haven't already)?
Question 10 of 10
Do you have any questions?