Intake form: Phoenix Rising Yoga Therapy
My phone number in case you need to reach me: 303-921-2152. Call or text.

For in-person meetings, we will meet at Prana Yoga, 3333 Federal Blvd. (unless otherwise arranged).
The studio faces Federal. Parking and the entrance are accessed from the alley.

If we are meeting on Zoom, please click "join" and enter my zoom number, which is the same as my phone number: 303-921-2152.

Phoenix Rising Sessions run 45-60 minutes and cost is $120.
* I understand the challenges of life, so I offer a sliding scale. Please ask for what you need. *
This is a judgement-free zone.

Cancelation policy:
I aim to be reasonable in all cases, and believe that you are too! Of course unexpected things happen, and we have to ensure both of us are taken care of. Please do your best to give me 24 hours notice for a cancellation. Last minute cancellations or missed appointments I will need to charge for.
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Thank you for choosing to work with me. Phoenix Rising Yoga Therapy facilitates a transformative process through connecting mind and body, maintaining that connection while witnessing and supporting your process. To facilitate the process, we will use postures, movements and dialogue, seeking "edges" of sensation or lack of sensation to explore the wisdom within you. Our work together is at the intersection of the physical to the psycho-emotional-spiritual.
Kristen Boyle, PRYT, E-RYT500
Please dress comfortably, in clothes of the proper warmth and mobility for us to do work standing, seated or on the floor as appropriate.
For more information on what to expect, watch this short video. Visit pryt.com for more.
Date *
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Name *
Age *
Height *
Weight *
Address *
Phone *
Occupation *
What do you hope to receive from your Phoenix Rising Yoga Therapy session?
How did you hear about Phoenix Rising Yoga Therapy and about my practice in particular?
What time did you wake up this morning?
What is your favorite day of the week?
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Have you recently received or do you regularly receive body or energy work? (massage, acupuncture, physical therapy, Reiki, etc.)
What do you do to move your body? How does moving your body affect you?
What is your experience in Yoga and/or meditation?
Describe your personal support system (i.e. family, friends, health care providers, groups)
Does your home environment feel healing and supportive?
Describe your work environment.
Please list anything (physical, mental, emotional, psychological, or spiritual) that you would like me to know.
Describe your Health and Wellness team. (psychotherapist, chiropractor, acupuncturist, allopathic physician, homeopathic or naturopathic physician, physical therapist, spiritual advisor, etc.)
Please list any medical conditions, prescription or non-prescription medication, herbs, surgeries, injuries, or chronic conditions that you feel I need to know about.
Please list any allergies I should be aware of (pets, essential oils, cleaning products or materials)
Is there anything else you would like me to know before we begin our work?
A copy of your responses will be emailed to the address you provided.
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