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Home | Yoga Programs & Retreats | Lifted Spirit | Lifted Spirit Questionnaire

Lifted Spirit Questionnaire

Thank you for your interest in Lifted Spirit. Please take a couple of minutes to complete this short questionnaire so we can get to know you a little better. One of the program leads will follow up with you soon.

Questions with asterisks * are required.

Name:

Email Address:

Confirm Email Address:*

Phone:

What goals do you hope to achieve during Lifted Spirit?
Step out of old patterns
Learn to live a happier life
Learn to approach obstacles in life differently
Practice meditation techniques
Gain tools to build confidence and overcome obstacles
Become less reactive
Other:

Please Elaborate

What is the primary reason you practice yoga?
Physical challenge
Stress relief
Mental challenge
Meditation
Movement (flow)
Heat/detoxification
Weight loss
Build muscle
Spirituality
Life benefits: enhanced focus, mental clarity, improved balance
Other:

Please Elaborate

How long have you been practicing yoga?
0 - 6 months
6 months - 1 year
1 - 2 years
2 - 3 years
3+ years