Please complete this form to the best of your knowledge and be assured that it will be treated in the strictest confidence. The questionnaire is just designed to make sure that you and baby can practice safely. If there is anything you are unsure about or would like to chat through instead, please get in touch. 

Pregnancy Yoga Health Questionnaire

Is this your first pregnancy?

Is your pregnancy classed as high risk?

Pregnancy Health Check (please tick those that are affecting you right now)

What aspects of pregnancy yoga are you interested in?

Declaration - By ticking this box, I am declaring that I have disclosed to my yoga teacher all information regarding my health relevent to the practice of yoga during my pregnancy.

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