Yoga with Liz | Questionnaire

What kind of support are you looking for right now?

I want to feel better in my body (physically, energetically, or both)

I’m curious about breathwork or nervous system regulation

I’m interested in private instruction or individualized guidance

I’m navigating the aftermath of a toxic or abusive relationship

I'm curious about hydration / medical grade water systems

Something else not listed here

(Choose all that apply)

If we could wave a magic wand and shift 1–2 things in your life right now, what would they be?

Do you feel stuck in any recurring patterns, habits, or emotional loops right now, and if so what are they?

Have you ever done breathwork, yoga, or energy work before?

Yes, love it

Tried it but didn’t stick

No, but I’m open

What’s your biggest priority right now? (This can be physical, emotional, relational, or something else)

Are you interested in private, 1:1 support or yoga sessions?

Yes, I'd like to learn more

Maybe, depending on what feels aligned

No, not right now

Where are you at with committing time and energy to a practice right now?

I’m ready to commit and show up

I'm interested and willing, but easing in gradually

I'm curious and exploring, not ready to commit yet

I'm gathering information for a later time

Is there anything else that you would like to share with me?

What is your first and last name?

What is your email?

What is the best phone number to reach you?

How Can I Support You?