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  • Health Questionnaire
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Health Questionnaire & Disclaimer

If you intend to participate in any of my classes or events you will be required to fill out this brief health questionare and disclaimer. I will never share your information with a third party and all information will be stored securely. Thank you.

Are you happy to:

Receive my newsletter:

Be contacted by email:

Be contacted by phone:

Have you practiced yoga before?

Do you have any medical/health concerns or injuries? (heart conditions, blood pressure issues, diabetes, recent surgeries, joint replacement, knee pain, back pain, etc.)

Have you given birth in the last 6 weeks?

Do you participate in other physical activities? (gym, swimming, running, climbing, etc)

Disclaimer Please read carefully; your submission of this form will be taken to indicate your understanding and acceptance of the following: Please take care when filling in this questionnaire and check the contents are accurate before you submit it. By submitting the questionnaire, you are confirming that the contents are true and accurate to the best of your knowledge. Please notify Mike McMaster Yoga of any changes to your responses in this health questionnaire before participating in classes subsequent to those changes.

Mike McMaster Yoga is not qualified to express an opinion that you are fit to safely participate in any classes, workshops or events. You must obtain professional or specialist advice from your doctor before participating if you are in any doubt.

Please always let Mike McMaster Yoga know before the class if this is your first time practicing yoga or if you are not confident about your experience and/or ability. Where you are taking part in live-streamed classes, please note that the instructor may not be able to see you at all times. Where you have declared a health condition, please contact the teacher before the class if you would like to request that you are provided with suitable modifications or adjustments wherever possible. Please note, where you are taking part in a pre-recorded class, you will not be able to request specific adjustments or modifications.

In all classes whether face to face, live streamed remote or pre-recorded remote, always follow safety instructions and listen to your body. Where a movement or class is beyond your experience or ability, feels too difficult for you, or you experience any discomfort, please do not continue the movement or class.

I confirm my understanding and acceptance of this health questionnaire and its disclaimer.

Please enter the word you see in the image below:


Mike McMaster Yoga - Yoga Teacher, Matlock, UK

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