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Please indicate your current level of training:
RYT 200 RYT 500 E-RYT 200 E-RYT 500 RYT 200 or RYT 500 training currently in progress
At which program did you complete the above training?
When did you complete the yoga teacher training program indicated above?
Month January February March April May June July August September October November December
Year 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900
How long have you been teaching yoga?
Please select less than a year 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years 21 years 22 years 23 years 24 years 25 years 26 years 27 years 28 years 29 years 30 years 31 years 32 years 33 years 34 years 35 years 36 years 37 years 38 years 39 years 40 years 41 years 42 years 43 years 44 years 45 years 46 years 47 years 48 years 49 years
What schools of hatha yoga most inform your teaching?
Please describe any experience you have teaching yoga to seniors.
Please list any other experience (either personal or teaching) that is relevant to working with older adults.
Please list any specific questions or topics areas you would like to see covered in the program.
How did you hear about this program?
Internet search of yoga teacher continuing education programs Advertisement Direct mail piece (i.e. brochure, flyer, postcard) FaceBook LinkedIn Referred by colleague / employer / friend I received an email notice I read a journal / magazine / newspaper article I heard about this course while participating in another Duke IM program
By submitting your application you attest that all of the information you have provided is complete and factually correct. If it is not, Duke Integrative Medicine reserves the right to rescind your application or void your enrollment.