Thanks for your interest in Private Yoga Instruction at Yoga Yoga!
By completing the information below, you will provide us with an important tool in matching an instructor to your expressed preferences and needs. Our Privates Coordinator will contact you soon.

Name:         

Telephone: 

Email:         

Our private yoga lessons are 75 minutes long. Please indicate your day, time and location preference:

Do you have a particular Yoga Yoga instructor that you would like to work with?
If you do not have one, we will match you with an instructor based on the information that you provide below.

What would you like to gain from Private Yoga Instruction?

Please check any specific goals that apply:
Stress reduction
Maintain health
Get started with a yoga practice
Begin working with a new form or style of yoga
Design a home yoga practice
Deepen existing yoga practice
Work with breathing techniques or meditation
Work with a specific injury or condition (Please describe in more detail, below*)
Work with a particular posture or series of postures
      Please detail:
Other goals
      Please detail:

If you checked multiple goals, which is the most important to you?

 *If you have a specific injury or condition, please provide us with some detail:


How often do you practice yoga?
Less than once/week
1-2 times/week
3-4 times/week
More than 4 times/week

How long have you been practicing yoga?
Less than three months
3-6 months
7-12 months
More than a year

What is your current activity level?
This is your overall level of physical activity at work and in any recreation activities, including exercise.
Very Active (active 5 or more days/week)
Moderately Active (active 2-4 days/week)
Less Active (active less than 2 days/week)
Sedentary

What do you do for exercise?

Does your work require that you sit at a desk or work on a computer for long periods of time?
Yes
No

Is there anything else you would like the instructor to know?