Dru Yoga Teacher Training Course

1. About You

Title:* Please Select... Dr Mr Mrs Ms Miss

First Name:*

Last Name:*

Address:*

Address 2:

Town/City:*

County*

Post Code:*

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Phone Number:*

E-mail Address:*

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2. Please yell us how experienced at Yoga you are:

I am a beginner:

I have 2-3 years practice:

I am experienced:

3. Do you attend a regular DRU yoga class?

Yes:

No:

If Yes who is your teacher:

4. Are you a yoga teacher?

Yes:

No:

If Yes how many classes do you teach?

5. Are you a complementary therapist?

Yes:

No:

If Yes what do you practice and for how long?

6. Please outline any background you have in teaching or training:

Please conentrate your answer especially within the sphere of personal development, human resources or therapeutics. (eg. Yoga, Tai Chi, any kinds of group work, therapies, etc.) If you are teaching regularly, please tell us how many groups/people you teach per week?

7. About your health:
 

Do you suffer from any of the following (please check as appropriate)?

High/low blood pressure

Epilepsy:

Fatigue:

Back / neck problems:

Asthma:

Diabetes:

Physical Disability:

Eye-sight problems:

Hearing Difficulty:

Cancer:

Arthritis / joint problems:

Emotional health problems:

Other:

During the course, please inform us of health changes. (Including pregnancy).
 

Are you currently taking medication?

Yes:

No:

If Yes what are you taking and what is it for?

Have you seen a counsellor, psychiatrist or other mental health worker in the last 5 years?

Yes:

No:

If Yes please give details:

8. General Questions:

Have you participated in any other Dru events, courses, conferences (Please specify title and year, do include courses you may be currently booked on):

Finally, please write about yourself in the box below, and include the following:

• What led you to apply for the Dru Yoga Teacher Training course?
• Please tell us about any other interests and skills you have?
• What are your expectations of the course?
• What do you hope to achieve by the end of the course?
• How do you intend to use the course and qualification?

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