Student QuestionnaireYoga for Diverse Abilities - Group Offering Student's Name * First Name Last Name Your Name (if different than student) First Name Last Name Relationship to student Email * Phone (###) ### #### Are there physical symptoms of your student's diagnosis which might contraindicate the practice of yoga postures? * Does the student have seizures? Triggers? * Is there anything about a group setting that challenges your student? * Anything else you would like us to know? Thank you! We will be in touch should we have any further questions. Please feel free to contact suzanne@humblehavenyoga.com should you have any additional questions or comments!