Postnatal Medical Questionnaire

Please answer all questions that are applicable.
Please give any information that might be valuable to me in planning your yoga
class.

Have you experienced any of the following -
Personal Declaration

I declare the above information is correct and will inform you of any changes in the
future.
I give permission for Bhakti Yoga and Hypnobirthing to store my personal information
and utilise it solely for the purpose of communication with myself. Bhakti Yoga and
Hypnobirthing undertake to not share this information with any third party.

Thanks for submitting!