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Student questionnaire

Student Health Questionnaire

To be filled in by all new students to xenoyoga when joining yoga class, workshop or yoga holiday.

All information given will be treated in the strictest confidence and stored in accordance with Data Protection legislation.

  • This field is for validation purposes and should be left unchanged.
  • YOUR PERSONAL DETAILS

  • YOUR YOGA HISTORY / FITNESS LEVEL

  • YOUR HEALTH QUESTIONNAIRE

    The following information is required to ensure your safety. Whilst yoga may be practiced safely by the majority of people, there are certain conditions which require special attention. If you are unsure please consult your GP before commencing class. Please tick the boxes below if you have any of the following medical conditions.
  • ADDITIONAL NOTES

    Iyengar yoga allows you to work at your own level to improve your flexibility, strength and general health. It is not competative and the postures can be adapted using props to assist in extension, and increase mobility. To avoid injury never force or strain yourself during the poses. Menstruating women should not do inverted poses, strong backbends or reverse standing poses. Pregnant women should be asked for specific advice. Those with special heath conditions should consult with their medical practitioner before performing any form of exercise / yoga classes. The teacher cannot be held responsible for any injury during the class, or any problem arising of a medical condition.
  • DECLARATION

    I confirm the above information is correct. I know of no reason of why I should not participate in any form of activity or exercise suggested to me by XENOYOGA. I acknowledge that any suggestions from XENOYOGA are neither diagnostic nor prescriptive. I understand that it is my responsibility to check with my doctor if I have any difficulties or concerns about my ability to participate in the yoga class and advice XENOYOGA of any change in my medical information follow the advice given by my doctor. I have stated all my history regarding Covid 19 and i can confirm that i have been made aware to NOT join any class if i have any Covid or flue like symptoms.

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