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Yoga & Wellness Counselling Booking Form

Yoga and Wellness Counselling Form

Yoga and Wellness Counselling

Our approach focuses on fostering holistic well-being by integrating mindful movement, breathwork, and self-reflection practices. Your responses will help us tailor counseling sessions to meet your specific needs and goals for achieving balance and harmony in mind, body, and spirit.

Have you practiced yoga before?

Yes No

On a scale of 1 to 5, how important is holistic well-being to you?

1 2 3 4 5

What motivates you to explore yoga and wellness counseling services?

Stress Reduction and Relaxation Physical Health Improvement Mental and Emotional Wellness Exploration of Holistic Healing

How would you describe your current level of experience with mindful movement practices?

Beginner Intermediate Advanced

What specific aspects of your well-being do you hope to improve through yoga and wellness counseling?

Stress Management Physical Fitness and Flexibility Emotional Resilience Mindfulness and Self-Awareness

How often do you engage in physical exercise or movement activities per week?

Less than Once a Week 1-2 Times a Week 3-4 Times a Week 5 or More Times a Week

Are you interested in learning breathwork techniques to manage stress and enhance relaxation?

Yes No

What time of day do you prefer for practicing yoga or engaging in wellness activities?

Morning Afternoon Evening

How comfortable are you with incorporating self-reflection practices into your routine?

Not comfortable Comfortable Very Comfortable

Are you open to exploring meditation as part of your wellness journey?

Yes No

What challenges or obstacles do you currently face in achieving holistic well-being?

Time Constraints Stress and Anxiety Lack of Support resources unhealthy habits or behaviors

How important is it for you to connect with a supportive community or like-minded individuals during your wellness journey?

1 2 3 4 5

What types of yoga or movement practices are you interested in exploring?

Hatha Vinyasa Yin

Would you prefer individual therapy sessions or group therapy sessions?

Individual Group No preference

What are your top three intentions or goals for incorporating yoga and wellness counseling into your life?

Stress Reduction and Relaxation Physical Health and Fitness Emotional Well-Being and Self-Discovery Others

How important do you believe counseling is in helping you achieve your aspirations?

Not important at all Somewhat important Moderately important Very important Extremely important

What is your email address?

What is your phone number?

Please select which of our Career counsellors you would like to book a session with:

Enter Link to Resume (optional):

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