Hi! I'm Ashley, creator of the Hawk Method.
Welcome to JOGA! I lead most of our sessions and am dedicated to providing you with a unique and enriching experience. If you’re looking for something specific, I also have other talented teachers available for hire. Please feel free to reach out with any questions or for support!
Phone:
323-217-2345
Email:
Address:
825 Euclid St.
Santa Monica, CA 90403
I require an intake and assessment form. Would you be able to answer these questions?:
Below are a few questions to help tailor our practice for you, specifically.
Please answer the questions as truthfully as possible and feel free to leave them blank.
I will offer my Ayurvedic doshic assessment after our intro and intake that we create together.
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Name:
Weight:
Age:
Gender identity+pronoun preference:
Spiritual or religious preference:
Do you take prescribed medication?
If yes, please disclose:
Do you exercise?
Please list all activities and frequency:
Try to remember all physical injuries, surgeries, + current concerns:
Are you interested in Ayurveda?
What is your current eating schedule?
What types of food do you like to eat?
How is your elimination?
Do you get regular, restful sleep?
How would you describe your overall lifestyle?
What would you like to gain from our sessions together?
What brought you to yoga?
What areas of yoga are you most interested in studying?
What type of commitment are you willing to make for your practice each week, month, or year?
How long would you like to commit to practice, ideally?
Would you like digital copies of your program notes, practices, and schedule in writing?
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Clients are welcome to practice for the first time, one time only with payment in advance to secure booking.
All bookings require payment in advance for incentive and protection of both parties.
A minimum of four sessions for use within six weeks is required.
All clients maintain responsibility for their own practice.
All clients commit to a lifestyle that includes the practices of yoga.
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***The practices start when you step off of the mat.***
We will need to take precautionary measures. All clients must sign or give verbal consent (CA) to the following:
CLIENT DISCLOSURE AND CONSENT FORM FOR YOGA THERAPY CONSULTATION AND TREATMENT
The purpose of a yoga therapy session is for physical, mental and spiritual well-being. This method of treatment is an alternative or compliment to healing arts otherwise licensed by the State of California, and, as you know, I am not a licensed physician. I have, however, received my certification for my 500 hour Yoga Teacher Training from the Yoga Alliance and am a certified Yoga Therapist through the International Association of Yoga Therapy.
If you ever have any concerns about the nature of your treatment you are of course free to discuss them with me at any time, and you are also of course entitled to stop treatments at any time, with or without reason. Further, if at any time I feel it necessary or advisable, I will discontinue our yoga therapy sessions to prevent any harm to you, to myself, or to my yoga therapy practice. As I am committed to monitoring your progress, I ask that you please bring any new information affecting your treatment as soon as practical. While I will use my very best efforts during our sessions together, I cannot guarantee any particular outcome as results vary from person to person.
Please know that preserving your confidentiality is of the utmost importance to me, and I will never share information learned during sessions with you with others unless I’m authorized to do so or required to do so by law.
I,______________, have read and understand the above and have discussed with my yoga therapist the nature of the services to be provided. I consent to and affirm all the terms included in this document. I understand that my yoga therapist is not a licensed physician and that it is my responsibility to maintain a relationship for myself with a medical doctor.
______________________ _______________ Client’s Signature Date
______________________ Client’s Full Name
______________________ Yoga Therapist’s Signature