Chair Yoga Form Email First Name * Last Name * Age Email Address * Contact number * Have you done yoga before? If so, please give further info. * What benefits do you hope to get from your chair yoga session? (e.g. Pain management/Sleep better/de-stress/increase flexibility/meet new people etc...) * * What is your mobility like? Do you have any physical issues I need to know about? e.g. back/knee/shoulder issues etc * Any other health issues which you haven't mentioned? ME, high blood pressure etc * Are you happy for me to add you to me e-newsletter/yoga info list? * * Yes No Where did you hear about my chair yoga sessions? **Please check with your doctor if you have any concerns about trying chair yoga**
