Yoga By Design Intake

I am so glad you are here. This is where we begin to map your unique energy and body, so I can create a personalized yoga practice that truly supports you. Take your time moving through these questions. There are no right or wrong answers. Simply respond in a way that feels honest and true for you in this moment.

Once submitted, please allow 8-10 business days for me to thoughtfully create your practice. Each sequence is intuitively designed and tailored specifically to you.

I am so excited to create something for you.

🤍 Jess

First name

Last name

Phone

Birthday

Month

Day

Year

Place of Birth, City, State, Country

Time of Birth

Do you currently have any injuries, chronic pain, or areas of tightness?

Are there any movements or positions that feel uncomfortable or off-limits?

How would you describe your current energy levels throughout the day?

Do you feel more stiff or more hyper-mobile?

Are you currently pregnant, postpartum, or navigating hormonal changes?

How physically active are you right now? (not active / moderately active / very active)

What types of movement do you currently do (if any)?

How many days per week could you realistically commit to a practice?

Do you prefer short practices or longer, immersive ones?

What time of day do you feel most available for movement?

Have you practiced yoga before? If so, what styles?

What do you enjoy most in a practice? (flow, stillness, breathwork, strength, stretching, meditation)

What do you tend to resist or avoid in yoga?

Do you like guidance and structure, or more intuitive/free movement?

Do you tend to feel more anxious, overwhelmed, or shut down?

When you’re stressed, do you crave movement, stillness, or distraction?

Do you have a hard time slowing down—or a hard time getting started?

What helps you feel grounded or regulated?

What are you hoping to feel more of in your body/life?

What feels out of balance for you right now?

If this practice worked perfectly for you, what would change?

Are you looking for strength, flexibility, stress relief, emotional release, consistency…?

What props or equipment do you have access to?

Do you have a quiet/private space?

By checking this box, I acknowledge that I am voluntarily participating in a yoga program provided by Jessica King Yoga. I understand that yoga involves physical movement and carries a risk of injury. I agree to assume full responsibility for any risks, injuries, or damages that may occur. I affirm that I am physically able to participate and will consult a physician if needed. I hereby waive and release any and all claims against Jessica King Yoga from liability.