Personal Training Program

Please note that all fields followed by an asterisk (*) are required.
First Name*

Last Name*

Your Email*

City*

Country*

Please indicate if this is the first time you have contacted us on this website:*
Yes, this is the first time.No, I have contacted you before or I have registered for an ecourse on this website previously.

Please describe your interest in tai chi qigong.*
Just for interest/fun.Fitness/Sport/ExerciseFlexibility/AgilityGrace/Balance/CoordinationPreventive health and well-beingSelf-defense and martial artsDirected energy healingPersonal/Spiritual developmentOther

Please indicate at most, 3 things you'd like to focus on, with ONE being the most important. (Example: 1-Health 2-Spiritual Development)*

Please state your background knowledge.*
---This is my first time.I consider myself a beginner (1-4 years).I have some experience (4-10 yrs).I have extensive experience.

Please provide some details regarding previous training, if any, in tai chi qigong, yoga, meditation, and/or martial arts

Your current state of health and physical condition and medication you are taking (if any):

How much time do you intend to invest (per day/week) in your training?

This program includes regular communication with me by email. Approximately, how often would you like us to communicate?*
---WeeklyEvery 2 WeeksMonthlyOnly when I have questions or there is a change in my training program.

Is there anything else you'd like for me to know about you?