Client Inquiry Form

Please complete the form below so I can begin to understand your story and how I may be able to support you. If we decide to work together, a more comprehensive health history and intake assessment will be completed during your initial consultation.

Please Note

This form is intended to provide an overview of your current level of movement and goals. During your initial consultation, we'll complete a comprehensive intake and assessment. Depending on your responses and individual circumstances, I may ask additional questions to ensure your therapeutic yoga program is safe, appropriate, and tailored to your unique needs.

Privacy Notice

Information provided through this intake form is collected for the purpose of providing and administering your services with Byard & Beyond Coaching & Yoga.

Please be aware that information submitted through this form may be accessible to authorized individuals providing website or technical support to Byard & Beyond Coaching & Yoga, where such access is necessary to maintain, troubleshoot or support the website or related systems. Access to personal information is limited to what is reasonably necessary for these purposes, and authorized individuals are expected to maintain the confidentiality and security of the information.

By submitting this form, you acknowledge that you have been informed of this potential access.