New client form

About you *

Your name:

Your email:

Your year of birth:


What is your particular focus for the session? What do you hope to get out of it? *


If you have any medical conditions or injuries, usually appropriate yoga practices can be found for you. However, for massage, some conditions require either a letter of approval from a medical practitioner or for you to self-certify that you wish to proceed in any case. Which statement best applies to you? *

I have no medical conditions or injuries and will not take pain-killers within 2h before the session.I will bring written medical approval with me.I here-by self-certify that I wish to proceed without medical approval.I am not having any massage, only yoga, so this does not apply.

Please outline any medical conditions, injuries or concerns, if any.