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Namastacey Yoga, LLC

Yoga in San Francisco with Stacey Rosenberg

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      July 2025
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Vibrant You Participant Questionnaire

Thank you for taking the time to complete this form. While no questions are mandatory, the more information you provide, the better I can assist you. Please know that I operate under HIPPA guidelines as stated on the coaching agreement, so your information remains private and will not be shared.

Name(Required)
Have you had lab tests in the last year?
Do you have a monthly cycle?
What areas of lifestyle and health do you want/need support in?
Thanks for joining the Vibrant You program. I am looking forward to taking this journey with you.

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COPYRIGHT 2023 STACEY ROSENBERG

Stacey Rosenberg, E-RYT 500, YACEP, C-IAYT / Namastacey Yoga, LLC
Group and private yoga classes, workshops, + teacher training in San Francisco and on Zoom.
Virtual Functional Medicine Health Coaching.
Retreats around the globe.
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