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Santosha Flows
Health Questionnaire

Welcome - I'm so glad you're here.

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Please take a few minutes to complete this confidential health form. Your answers help ensure that each practice supports your body safely and with care.

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All information is kept private and used solely to tailor your experience.

SECTION 1: PERSONAL DETAILS

SECTION 2: YOUR YOGA EXPERIENCE

Have you practiced yoga before? Required

SECTION 3: CURRENT HEALTH & WELLBEING

Please tick any conditions that apply (past or present): Required
Are you currently taking any prescribed medications? Required

SECTION 4 - MOVEMENT & COMFORT

Are there any movements or postures that cause you pain or discomfort? Required
Do you have any injuries (past or present) that may affect your yoga practice? Required

SECTION 5 - LIFESTYLE & ENERGY

How would you describe your current energy levels?
How would you describe your stress levels right now?

SECTION 6 - CONSENT & DECLARATION

Declaration:

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By submitting this form, I confirm that:

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  • The information provided is accurate to the best of my knowledge.

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  • I understand yoga is not a substitute for medical care and will inform the teacher of any changes to my health.

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  • I take full responsibility for my own body and will listen to its limits throughout practice.

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  • I consent to Santosha Flows Yoga collecting and securely storing my information in line with GDPR regulations.

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SECTION 7 - OPTIONAL CONSENTS

Hands-On Assists Required
Photography Consent Required

Thank you for sharing. Your practice begins with awareness - and that starts right here.

Thanks for submitting!

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