Please, provide your contact information

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* 1. Please, provide your contact information

GP name, surgery address and contact number

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* 2. GP name, surgery address and contact number

Emergency contact name and number, relationship to the client

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* 3. Emergency contact name and number, relationship to the client

Current medical conditions (physical and mental), medications and doses taken

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* 4. Current medical conditions (physical and mental), medications and doses taken

Current injuries and physical limitations

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* 5. Current injuries and physical limitations

Current symptoms experienced (physical and mental)

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* 6. Current symptoms experienced (physical and mental)

Injuries and medical conditions (physical and mental) in the last 3 years, medications and doses taken

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* 7. Injuries and medical conditions (physical and mental) in the last 3 years, medications and doses taken

Previous yoga experience - how regular, for how long, which type of yoga

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* 8. Previous yoga experience - how regular, for how long, which type of yoga

What is your aim for doing yoga?

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* 9. What is your aim for doing yoga?

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