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Body & Brain Check-Up

Record the number of points after each exercise to evaluate your condition

I prefer to be contacted by:*
1. Flexibility Check I (Basic Stretching)*
2. Flexibility Check II (Arms & Wrist twist and stretch)*
3. Balance Check (standing on one leg)*
4. Coordination Check I (fist tap / palm sweep on each side of your chest)*
5. Coordination Check II (thumb out on one fist & pinkie our on the other fist and alternate)*
6. Strength Check (squats bending your knees 90 degrees and arms out parallel to the floor)*
7. Endurance Check (flying eagle pose)*
8. Physical Power (Check all that apply)*
9. Mind Power (Check all that apply)
10. Brain Power (Check all that apply)
11. What is your goal of training? (Check all that apply)
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Thank you for completing Body & Brain Checkup form. We look forward to supporting you in your healing journey! Namaste, Holistic Healing & Yoga