Web Site Name * Your Primary Email * Your session is scheduled. Please take a few moments to run through this form so we dont spend time going over stuff you already know. Do you do any form of dance or movement practices? Do you use aromatherapy? How much time, every day, are you able to dedicate to a self-practice designed specifically for you? Please tick all the practices/techniques that you already have a clear understanding of. Cleansing Breath Mula Bandha Uddiyana Bandha Nauli Ujjayi Pranayama Sahaja Agni Sara Dhauti sahaja Agni Sara Pranayama Shitali & Sheetkari Pranayama Khechari Mudra Simha Mudra Conscious Connected Breathing Baddhakonasana Shalabhasana Pascimottanasana Virabhadrasana B Dhanurasana Urdhva Dhanurasana Sarvangasana Vaprita Karani On a scale of 1 - 10 How familiar are you with the chakras? 1 = not at all, 10 = very What do you understand (if anything) about Brahmacharya Do you know and practice any mudras? Do you know and practice any kriyas? Do you have any medical conditions or take any medication (herbal or allopathic? Anything else you wish to share before our session? Please avoid eating 3hrs before the session
