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Please describe any physical or mental health conditions that might affect your participation in this program. List any medication you are presently taking. List any surgeries you have undergone in the past ten years. List any chronic pain, joint strain, muscle strain or other physical issues that you presently have or ever feel in the course of a normal day or in practicing yoga. Indicate if you are pregnant or recently gave birth (within the past 18 months). Please attach additional sheets of paper as necessary to provide accurate and complete information as requested here. Please feel free to add any other health-related information you wish to bring to our attention. Do you or have you ever had any of the following? If so, describe below.