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Health Questionnaire

Version 1 - 2022



Before you book one of our classes, we need you to first complete the following Health Questionnaire.

Our Health Questionnaire covers your contact information, general health conditions and any relevant information that may affect your Yoga practice. Whilst Yoga may be practiced safely by most people, there are certain health conditions that require special attention.

All information will be treated in the strictest confidence and stored in accordance with General Data Protection legislation. 


Please take care when filling in this questionnaire and check the contents are accurate before you submit it. By submitting the questionnaire, you are confirming that the contents are true and accurate to the best of your knowledge. Please notify your teacher of any changes to your response in this health questionnaire before participating in classes subsequent to those changes.

Neither your teacher nor Yoga Barn are qualified to express an opinion that you are fit to safely participate in any Yoga Barn organised yoga classes. You must obtain professional or specialist advice from your doctor before participating if you are in any doubt. 

All of our yoga instructors are appropriately qualified with high standards of teaching and best practice. Where possible, your teacher may offer suitable modifications or adjustments and practices to suit different levels of experience and ability.

Please always let your teacher know before the class if this is your first time practicing yoga or if you are not confident about your experience and/or ability Where you have declared a health condition, please contact the teacher before the class if you would like to request that you are provided with suitable modifications or adjustments wherever possible.

In all classes, always follow your teacher's safety instructions and listen to your body. Where a movement or class is beyond your experience or ability, feels too difficult for you, or you experience any discomfort, please do not continue the movement or class.

Covid-19 Guidance - please follow the latest Government guidance on Covid-19 self-isolation and only attend scheduled classes when you are symptom-free and have tested negative.


Please select any of the followng medical conditons that you may have (these conditions may require specific modifications to your yoga practice):
Please select any of the followng medical conditons that you may have (these conditions may affect your yoga practice so may be useful for your tutor to be aware of them):
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