Pregnancy Health Questionnaire

Contact Details:

Pregnancy Details:

Twins/multiple pregnancy:(required)

Client Declaration:

  • I have disclosed all information regarding my health relevant to the practice of yoga and take full responsibility for all applications of yoga I practice in class and when following classes online.
  • I fully understand that the recommendations, ideas or techniques expressed and described in class cannot be regarded as substitute for the advice of qualified medical practitioners.
  • I understand and consent that the personal information collected about me, such as my name or contact details, will be stored securely by Ryecroft Yoga and Wellness in accordance with our privacy policy and not be shared.