Retreat Questionnaire

    1. Personal Information

    Full Name:

    Email:

    Contact Number:

    Date of Birth:

    Gender:

    Occupation:

    2. General Health Information

    Do you have any pre-existing health conditions (e.g., asthma, heart disease, arthritis, etc.)?

    Have you had any relevant operations in the past? If so please provide more details.

    Do you have any allergies (e.g., food, medication, environmental)?

    Are you currently taking any medications? If yes, please list them.

    Are there any injuries or physical limitations that affect your ability to practice yoga (e.g., shoulder injury, knee pain)?

    Do you have any mobility issues (e.g., difficulty getting up from the floor, limited flexibility)?

    Do you experience any chronic pain or discomfort (e.g., back pain, joint pain, headaches)?

    Are there any specific areas of your body where you feel tension or tightness (e.g., neck, shoulders, hips)?

    Do you have any difficulty with movement (e.g., limited range of motion, balance issues)?

    3. Lifestyle

    How would you describe your current level of physical activity (Sedentary, Lightly Active, Moderately Active, Very Active)?

    What types of physical activity or exercise do you engage in regularly (e.g., running, strength training, cycling)?

    Do you have a sedentary job or lifestyle (e.g., sitting at a desk for long periods)?

    4. Yoga Experience

    Have you practiced yoga before? If yes, for how long and how often?

    What styles of yoga have you practiced (e.g., Hatha, Vinyasa, Kundalini, Ashtanga)?

    What do you hope to achieve from practicing yoga (e.g., stress relief, flexibility, strength, mindfulness)?

    5. Mental and Emotional Well-Being

    Do you experience high levels of stress or anxiety regularly?

    Do you find it difficult to relax or clear your mind?

    6. Sleep and Rest

    How many hours of sleep do you typically get each night?

    Do you have trouble falling asleep or staying asleep?

    Do you wake up feeling rested?

    7. Goals and Expectations

    What are you hoping to learn or achieve on this Yoga Retreat?