Name *

First Name

Last Name

Is this your first yoga/pilates class? *

Yes

No but it's been a while

No

How often do you exercise? *

Less than once a week

Twice a week

Three or more times a week

What brings you to the area?

Just visiting

I own a home here

I'm a local

Are you pregnant? *

Yes

No

Have you read and agree to the terms and conditions of your booking? *

www.sensegreaterpeace.co.uk/terms-of-service

Yes