Personal yoga assessment

This intake helps Satv Yog recommend a suitable format and identify when medical clearance is needed. It is not a diagnosis or emergency service.

First name *

Last name

Email *

Phone *

Preferred format

Area/locality

Preferred days and times

What would you like the practice to support? *

Relevant health, injury, pregnancy, surgery or medication contextOnly include information needed for safe participation. Do not use this form for an emergency.

Clinician/physiotherapist instructions or restrictions

Current stress (1 low-5 high)

Mobility confidence (1 low-5 high)

Sleep quality (1 poor-5 good)

I understand that Satv Yog provides yoga education, not diagnosis or medical treatment; I will seek appropriate care and disclose material changes. *

I consent to programme follow-up beyond this assessment.

Safety sources

NCCIH - Yoga: Effectiveness and Safety.
CDC - DVT and pulmonary embolism symptoms and urgency.
ACOG - Exercise During Pregnancy.