Bringing Yoga To Everyone

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Bringing Yoga To Everyone

Initial Form

Name

Email

How many weeks pregnant are you?

I want to get pregnant Less than 13 weeks

Have you practiced Yoga before?

Yes No

Do you practice or have you practiced meditation?

Yes No

What is your general state at the moment?

Good, I’m feeling very well Bad, it’s getting complicated for me Okay, there are days of everything

Do you recognize any areas of your body that are particularly sensitive?

Back Neck (cervical area) Lower back (lumbar area) Hands and wrists Knees Shoulders Abdomen and pelvic floor

Do you consider your stress levels to be:

Very high Too low Moderate

How would you describe your bowel movements?

Good Bad Okay

How do you sleep?

Good Bad Okay

Have you had any significant surgeries in recent years?

Yes No

Since when have you been trying to get pregnant?

Primary care physician

Have you had any miscarriages?

Yes No

Can you describe your menstrual periods?

What are the main objectives you aim to achieve with this program? (List at least 3)

Formulate the main objective you wish to achieve upon completing this program

Remember that to formulate a good objective, it must be specific, measurable, achievable, realistic, and have a specific time frame.

Schedule an appointment

Send

Borrar Firma