Airport Yoga Survey

Today's Date

Month

Day

Year

Gender

Male

Female

Age (Years)

Under 30

30-50

50+

1. Has your flexibility increased since starting to attend the airport yoga class? *

Yes

No

1a. Please rate your flexibility level before starting the airport yoga class (check one) *

1b. Please rate your flexibility level currently or after attending the airport yoga class (check one) *

2. Have you experienced any improvement physically since starting to attend the airport yoga class (e.g., decrease in daily aches and pains, feeling stronger)? *

Yes

No

2a. Please rate your overall physical comfort level before starting the airport yoga class (check one) *

2b. Please rate your overall physical comfort level currently or after attending the airport yoga class (check one) *

3. Have you experienced any improvement emotionally since starting to attend the airport yoga class (e.g., decreased levels of stress, improved mood)? *

Yes

No

3a. Please rate your overall stress level / mood before starting the airport yoga class (check one) *

3b. Please rate your overall stress level / mood currently or after attending the airport yoga class (check one): *

4. Please rate your overall satisfaction with the airport yoga class (check one) *

5. Please rate your overall satisfaction with the airport yoga instructors (check one) *

6. Have you had a workers’ compensation injury since first starting to attend the airport yoga class? *

Yes

No

7. Do you have any additional comments or suggestions about the airport yoga classes?

8. Name or Section (optional)

Thank you for completing the questionnaire.

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