Yoga for Runners health questionnaire

Name*

First Last

Email*

Phone*

Have you done yoga before?*

No, never
Yes, but a while ago
Yes, but not regularly
Yes, I'm currently practicing

Do any of these health conditions apply to you?

Please give details about the conditions above and/or any additional injuries you have (if applicable)

Is there anything specific that you would like to focus on within the yoga session to improve your running performance (e.g. strengthen glutes, improve hip mobility)?

Please give brief details about your running experience and any key races that you are training for.

Please give details of any allergies that you have (if applicable)

Please read the following and confirm*

I confirm that, to the best of my knowledge, these answers are accurate and I know no reason why I should not participate in a yoga class. I acknowledge that all physical activities involve risk of personal injury and I agree to take responsibility for my health and wellbeing, including any injuries during the yoga class. I will inform my yoga teacher of any medical changes.

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