Please could you take time to fill in this questionnaire.

All details are kept in the strictest confidence.

Some postures and breath techniques are contraindicated for certain conditions.

This questionnaire therefore helps me to tailor the classes or one to one sessions to your needs.

If you have any queries about Kundalini Yoga or if you want to discuss if this practice is suitable for you, please contact me on: 07960 771562 or you can email me on

Thank you!