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Health Questionnaire for Yoga Students

Please fill out the following form to help me understand your physical condition. This must be completed before you undertake any of my in-person classes. Alternatively, you will be asked to fill out a paper version of this at the beginning of your first class.

Have you been hospitalized in the last 12 months?
Are you currently suffering from a medical condition, illness, or injury?

Thanks for submitting!

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