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* 1. Please supply your name

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* 2. and your email address

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* 3. and your phone number (optional)

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* 4. Do you have any previous yoga experience

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* 5. Do you have any medical conditions that you are specifically wishing to explore yoga for as an effective intervention

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* 6. Please outline if you are happy to any medical conditions that you are experiencing (optional)

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* 7. What time of day and day of the week suits you the best

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* 8. Are you interested in undertaking the 6 week course through your employer in which case please provide the email address of a contact (optional)

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