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Confidential Yoga / Meditation Intake Form

Gender
Have you practiced Yoga Before?
Styles of Yoga/Zumba practiced most frequently
What are your Goals/Expectations for your Yoga Practice? Required
Personal Interests Required
Current activity Levels

By attending this class, I affirm that I am solely responsible for my health and well-being or to any injuries. I agree to listen to my body and monitor myself during sessions. I am here at my own will and I will not hold Anandam Wellness/instructors responsible for any injuries suffered by me.

Disclaimer**

The services provided by Anandam Wellness are intended to support overall well-being and are not a substitute for professional medical advice, diagnosis, or treatment. Our practitioners do not diagnose medical conditions or prescribe medications. Please consult with your doctor or qualified healthcare provider regarding any medical concerns or conditions you may have.
 

By completing and submitting this form, you acknowledge that:
 

  • You have disclosed all relevant health information to the best of your knowledge.
     

  • You understand that natural therapies may support health and wellness but are not guaranteed to cure any medical condition.
     

  • You accept full responsibility for your choices and participation in any therapy or wellness service provided by Anandam Wellness.
     

If you have any serious health concerns, we encourage you to seek guidance from a licensed medical professional.

Your submission has been received.

Mandatory fields cannot be left blank. Kindly fill them in.

Please call or message us at 0451084481 for bookings. 

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GET OUR 15 MINS FREE DISCOVERY SESSION. CONTACT US TODAY!
ADDRESS

Clinic: 20 Park Lane,
Bahrs Scrub, QLD 4207, AUSTRALIA

 

Yoga Venue: Beenleigh neighborhood center 10-12 James St, Beenleigh 4207

CONTACT US

For Bookings
Call: 0451084481

Email: anandamwellness5@gmail.com

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WORK HOURS

Monday - Friday: 0600 – 1800 hrs 

Saturday: 0600 - 1300 hrs

Sundays: Sun and outside operating hours - upon request/availability $10 surcharge

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