please complete the form below to confirm your interest. once your response is received, you’ll be contacted to schedule your session. i look forward to working with you! Name * First Name Last Name Email * Phone (###) ### #### Where are you located? (City + State) * Where would to do your sessions? * In my own home or facility At Nicole's yoga facility (located in Playa Vista, CA) How long do you want your session to be? * 60 minutes 90 minutes Other What time of day would you like to have your sessions? * Early Morning (06:00-09:00) Late Morning (09:00-12:00) Afternoon (12:00-15:00) Early Evening (15:00-18:00) Evening (18:00-21:00) Different times I'm not sure yet How long have you been practicing yoga? * I've never done yoga before! Less than 1 year 1-3 years More than 3 years What other type/s of exercise do you do regularly? * Have you ever experience a sports or exercise- related injury? * If yes, please describe. Have you experienced any other injuries, illnesses, or chronic conditions I should be aware of? * If yes, please describe. How often would you like to practice yoga with me? * 2-4 sessions per week 1 session per week 2 sessions per month I'm not sure yet What do you hope to gain from your yoga practice? * Check all that apply. Increased flexibility and range of motion Build strength Relax and release stress Cultivate mindfulness Other What do you want your sessions to focus on? Check all that apply. A well-rounded, functional yoga practice A restorative, healing, or recovery-focused practice Meditation and mindfulness Flexibility training Other Is there anything else you'd like me to know about you? What type of class package are you interested in purchasing? 1 90-minute session for $200 5 90-minute sessions for $175 each ($875 total) 10 90-minute sessions for $150 each ($1500 total) 1 60-minute session for $175 5 60-minute sessions for $150 each ($750 total) 10 60-minute sessions for $111 each ($1100 total) I'm still deciding Thank you!
