Information will be treated confidentially in accordance with the Data Protection Act (2018)
Date of birth
How did you hear about the class?
Word of mouthFacebookGoogleInstagramYogahub.co.ukPosterOther
Are you pregnant or have you given birth in the last 6 months?
Are you currently suffering from any injuries?
If you have answered yes to the above, please provide information here:
Have you had any surgical procedures in the past 12 months?
Do you have any medical conditions that could affect your practice ,e.g.
Asthma or breathing difficultiesHigh blood pressureLow blood pressure / faintingHeart problemsDiabetesMigraines, dizziness or blurred visionEpilepsyVertigo or other balance disorderFibromyalgiaOsteoporosis or osteopeniaOtherNo medical conditions
If you have any other medical conditions that may affect your practice, please provide information here:
I’ve read and understood the questions and answered them accurately. I understand that The Health Architect cannot be held responsible for ill health or injuries arising from participation and that it is my responsibility to consult my GP if I have any concerns.