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Please list any past or recent injuries that concern you:

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What makes condition worse?

What makes condition better?

Is your condition a result of an event such as a fall or car accident?

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Do you feel there is an emotional component related to your pain?

Are you interested in addressing any repressed unconscious emotions that could be related?

Current medications:

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History and dates of surgeries:

What are your specific goals?

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Are you open to having meditation included in your video?

Do you resonate with a certain style of Yoga?

Are you interested more in Hatha Yoga (Yoga for physical alignment, strength, balance and/or flexibility) or Kundalini Yoga (Yoga for the Energy Body and raising consciousness)?

Are you flexible with the time of your video or do you need it to be exactly 30 minutes? If less, please specify time.