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Information Request
Please fill out the following to the best of your ability. I will then be in touch with your preferred form of contact!
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Email
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Your email
Name
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Your answer
How do you prefer to be contacted?
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Your answer
What services are you interested in? (Check all that apply)
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Small Group Yoga Session (Special Event or Corporate)
Public Yoga Classes
Private Yoga Mentorship
Private Meditation Coaching
Athletic Recovery Coaching
Other:
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If applicable to your request, where are you located?
Your answer
What is your preferred time for a session? Check all that apply.
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Weekday Mornings (8-11)
Weekday Afternoon (11-3)
Weekday Evenings (4-8)
Weekend Mornings (8-11)
Weekend Afternoons (11-3)
Weekend Evenings (4-8)
Other:
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Optional: What brings you to yoga? What do you hope to gain from our sessions together?
Your answer
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