General Information
Name(In Capital Letters)
Date of Birth:
Age:
Marital Status:
Gender: Male Female
Residential Address:
Phone(R)
Phone(O)
Mobile
Emergency Contact:
Email Id
Suitable Time to Contact
Profession
Health Issues
Any PAST Illness, If yes Please Mention
Any PRESENT Illness, If yes Please Mention
Any History Of illness in The Family (HEREDITARY), If Yes Please Mention
Weight(In Kg At Present)
Height(In Inches At Present)
Waist(In Inches At Present)
Thigh(In Inches At Present)
Lifestyle
General Food Habbit (Veg/Non-Veg/Tea/Coffee/Smoking/Drinks/Gutkha/Sweets)
Favourite Food
Hobbies/General Habbits
Rising Time
Sleeping Time
Stool Time & Type
How do you spend your Time
What is the Philosophy of your Life
Have you ever joined Yoga Program, if YES Where?
How did you know About Us
Purpose Of Joining Yoga Programme
Any Other Information
Recommended Yoga Programme by Yoga Expert
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