Private Yoga for Neurodiversity Inquiry Form Name * First Name Last Name Email * Phone (###) ### #### What is your preferred form of communication? * Email Phone Zoom Text What time zone are you located in? * How did you hear about us? * What is your experience with yoga, meditation, and/or breathwork? * What interests you about practicing yoga to support your neurodiversity? * Anything else you'd like to share? Everyone grows in different ways. What type of support would be the most helpful for you at this stage? Check all that apply. * Weekly 1:1 sessions Occasional 1:1 sessions (2-3x/ month) Multiple weekly sessions (2-3x/ week) This private yoga offer is for 8 sessions of neurodiversity yoga. The rate is $900 (discounted from $1,200). Please check "yes" if you understand and would like to move forward. * Yes No Thank you! Thank you for completing this form! I’ll be in touch soon!
