top of page

Book
Yoga Classes
Retreats
About
Shop
More

Use tab to navigate through the menu items.

Health Questionnaire

If I have not taught you yoga before, prior to taking either live or pre-recorded classes, please fill out the following form to help me understand a little more about you.

First Name

Email Address

Last Name

Date of Birth

Have you done yoga before? *

No

Yes

If yes, do you know what type, how long for and how frequently?

Are you currently suffering from (or have recently suffered from) a medical condition, illness, or injury? *

No

Yes

If yes, please can you provide a little more information so that I can understand whether you might need any modifications in class?

I declare that the info I’ve provided is accurate & complete

I want to subscribe to That Yoga Woman's newsletter to keep up to date on what's happening

Thank you for completing the health questionnaire.

Group and 1:1 yoga classes and retreats
in and around Newbiggin-by-the-Sea, Northumberland.

Join my mailing list

Thanks for submitting - you'll be added to my mailing list!

Quick Links
Home
Book A Class
Class Information
About
Contact

Select a Plan
Gift Cards

Workplace Wellbeing

Log In to Your Account Here

Legals
Terms & Conditions
Privacy Policy

© 2025 by Jules Buchanan

bottom of page