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Programs
Upcoming sessions
Contact
Full Name*
Age*
Email id*
Whatsapp No.*
Have you ever learned any of the Classical Hatha Yoga practices before?*
Check the box if you have any medical condition below:*
Any Physical limitation or disability
Joint related ailments
Neck/Back pain
Spine related ailments
Ligament injury
High Blood Pressure
Low Blood Pressure
Seizures/Epilepsy
Stroke
Cardiac ailments
Respiratory conditions
Communicable diseases
Thyroid
Diabetes
Gastrointestinal tract/ bowel issues
PCOD/PCOS/Menstrual disorders
Hernia
Chronic pain in any part of the body
Glaucoma/eye related issues
Psychological issues
Depression/Mood disorder
Neurological issue
Other
None
Any surgery in last three years?*
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No
If you answered "Yes" to the previous question, kindly provide the information in detail
Any injury in the last three years?*
Yes
No
If you answered "Yes" to the previous question, kindly provide the information in detail
Have you ever been hospitalized for any psychological conditions?*
Yes
No
If you answered "Yes" to the previous question, kindly provide the information in detail
For women, are you currently pregnant or planning for pregnancy?*
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No
Not applicable
Are you addicted to following:*
Smoking
Alcohol
Drugs
None
Please read the "Medical Information" by clicking on the "Terms and Conditions" button below before submitting the form.*
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