Signature Flow Intake Form | Kelly Mortensen

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✨ Signature Flow Questionnaire ✨

I'm so excited you're here! This form helps me get to know you better so I can create a yoga experience that truly fits you. Your answers will help establish a foundation for a practice that feels just right—aligned with your goals, lifestyle, and preferences. Ready? Let's get started!

First name*

Last name*

Email*

Phone*

Birthday

Month

Day

Year

How would you describe your yoga experience?*

What kind of flow are you looking for? (pick up to 3)*

Energizing & uplifting

Slow & relaxing

Strength-building

Stretch-focused

Meditative & mindful

Breath-focused

A mix of everything

What are your primary reasons for practicing (or wanting to practice) yoga? *Pick your top 2-3*

Reduce stress & anxiety

Improve flexibility & mobility

Build strength & endurance

Cultivate mindfulness & inner peace

Increase focus & energy

Support injury or pain relief

Improve posture & body awareness

Any areas of the body you'd like to focus on? (e.g., hips, shoulders, back, core, legs, etc.) If nothing specific, write "full body."*

Do you have any injuries, sensitivities, or medical conditions I should be aware of? (if yes, please describe; if none, write NA)*

How long do you want your signature yoga flow to be?*

How often do you plan to practice your signature flow?*

Where do you plan to practice your signature flow? (e.g., home, outdoors, gym, studio, etc.)*

What yoga equipment do you own already and/or plan to use?*

Yoga mat

Yoga blocks (2)

Yoga bolster/pillow

Heavy blanket

How do you want to feel after your yoga session? (Describe in a few words—e.g., calm, strong, balanced, inspired, etc.) *

What specific yoga poses do you LOVE and would like to incorporate if possible? If nothing comes to mind, write 'unsure'.*

What specific yoga poses would you rather omit from your practice? If nothing comes to mind, write 'unsure'.*

Anything else you'd like to share to make this practice feel truly yours?

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