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Thanks for purchasing your Yoga Retreat with Lucia Yoga

In case you do not receive any update from us, please email us info@www.luciayoga.com

Please, fill the health questionnaire below

Health Questionnaire

Name *
Age *

Email *

Have you done Yoga before? Yes/No.
If yes, what type(s) and for how long?

Do you practice physical exercise? What kind? and for how long?

Do any of these health conditions apply to you?

Do you have any other conditions which affect your mobility or are likely to cause
you concern when doing Yoga?

If Yes, give details:

Which aspects of Yoga most interest you? Please tick as many as you wish:
Physical postures (asanas)RelaxationChanting & HealingBreathwork (pranayama)MeditationAshtangaVinyasaHathaNutrition

Do you have any food intolerance? Please detail any type of food that can not take.

Accomodation Preferred
Single OccupancyDouble Room, SharedTwin Room, Shared

How did you first hear about this yoga retreat?

I take full responsibility for my health during the yoga classes, including any injuries.
I will inform my yoga teacher of any medical changes.

Thank you for filling out the questions!

Please click Send and Wait for the confirmation message

Meanwhilte we can connect through social networks