Mummy Wellness Workshop Health Questionnaire.

Please complete the 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 can practice safely. If there is anything you are unsure about or would like to chat through, please get in touch.

Before you fill out this questionnaire and send the form back to Body to Baby, we advise you read the Privacy Policy so you understand and accept what happens to your data. By you forwarding the questionnaire on to Us We will assume that you accept the Privacy Policy as stated. 

 

Name *
Name
Preferred Contact *
Please indicate your preferred method of contact in case of cancellation
Mummy Wellness Health Check
Since having your last child what are you currently experiencing? (please tick those that are affecting you right now)
Please let us know
Please let us know what aspects of the Mummy Wellness Workshop are you are interested in
Declaration
By ticking this box, I am declaring that I have disclosed to my yoga teacher all information regarding my health relevant to the practice of yoga during my pregnancy. I take full responsibility for all applications of yoga I practice in the class and outside the class during my pregnancy. I fully understand that the recommendations, ideas or techniques expressed and described in the pregnancy yoga classes cannot be regarded as a substitute for the advice of a qualified medical practitioner. Any uses to which the recommendations, ideas and techniques are put are at my sole discretion and risk.