List any previous or current medical, emotional or psychological conditions.:
Please list all medications you are currently taking.:
Do you have any injuries? (if yes please explain):
How long have you been practicing Yoga?:
In your own words, what does Self Healing means to you?:
In your own words, what do the benefits of Yin means to you?:
List your previous experience with Yin Yoga:
What style of yoga do you practice? What inspires you the most? Why?:
Where did you here about this program?: