Mind Body

REGISTRATION FORM

First Name

Email

Whatsapp No.

Purpose of starting with Yoga

General Fitness

Stamina

Flexibility

Mental Peace

Weight Loss

Disease Reversal

Other

How long have you been practicing yoga

I am absolute beginner

less than 6 months

more than 6 months

Last Name

Company

Do you suffer from

Blood Pressure Issues

Diabetes

Anemia

Hormonal Imbalance

Back pain / Cervical Issues

Hypertension / Anxiety

Insomnia / Depression

Frequent Headaches / Migraine

Joint pain / Arthiritis

Other

None

Any comments

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