online form suggestions?

2 views
Skip to first unread message

Aiyana Athenian

unread,
Feb 25, 2017, 5:17:47 AM2/25/17
to ksa6ju...@googlegroups.com
Hi all~

I've been trying to create an online intake form that clients can fill out online and submit to me for online consultations. The usual form builder that I'm used to using for our yoga school applications won't allow enough fields for all the data. I'm wondering if any of you use an online form and if so what platform you use? Or, if any of you are aware of any ayurvedic software with ready-made intake forms. Thanks for any ideas.

Also, are any of you aware of any useful protocals/herbal support, etc for someone recovering from Lyme? The client has gone through all the antibiotics, etc, but is pretty depleted from all the treatment and could use a boost. However, I'm thinking there's a fair amount of ama from the antibiotic effect on the GI tract.


Thanks. Hope you all are well.

love,
Yana


On Mon, Feb 13, 2017 at 9:54 PM, Jenna Labbe-Watson <deeproot...@gmail.com> wrote:
Hello out there,

I am planning to attend Hilary's Vedic Psychology training in Boston this May 26-29 and I'm trying to find an affordable place to stay. If you live near Boston and have a couch I could crash on, I'd be very grateful. Thanks for considering & I hope this finds each of you well and warm on this snowy day.

Peace,

Jenna Labbe-Watson

Deep Roots Ayurveda
Certified Ayurvedic Practitioner & Community Herbalist

--
You received this message because you are subscribed to the Google Groups "KSA6JUNE2011" group.
To unsubscribe from this group and stop receiving emails from it, send an email to ksa6june2011+unsubscribe@googlegroups.com.
For more options, visit https://groups.google.com/d/optout.



--
Aiyana Athenian, LMT, E-RYT 500, pRYT, CAy
Co-Director ShivaShakti School of Yoga and Healing Arts
Experienced Registered Yoga Teacher- Yoga Alliance
Prenatal Registered Yoga Teacher- Yoga Alliance
Licensed Massage Therapist, NCBTMB
Certified Ayurvedic Practitioner (NAMA)
Ayurvedic Yoga Specialist
Doula (DONA)

Aiy...@ShivaShaktiYogaSchool.com
www.ShivaShaktiYogaSchool.com


Don't ask what the world needs. Ask what makes you come alive, and go do it. Because what the world needs is people who have come alive.
-Howard Thurman

Adena Rose Bright

unread,
Feb 25, 2017, 6:58:00 AM2/25/17
to ksa6ju...@googlegroups.com
Regarding Lyme,  ourishging herbal infusions? Milky oats...

Sent from my iPhone
To unsubscribe from this group and stop receiving emails from it, send an email to ksa6june2011...@googlegroups.com.

Mike Elliff

unread,
Feb 25, 2017, 11:18:10 AM2/25/17
to ksa6ju...@googlegroups.com
Hey Kids...

The problem with the intake forms that we have run into is that I do not have a HIPPA compliant platform. Nanette might have more info around that and I think Margarit Mikulis is the go to person for Lyme, as is Gerard... Hope this helps!

Mike Elliff CAy
Ayurveda Practitioner
Licensed Massage Therapist
Ayurveda Yoga Specialist


Aiyana@ShivaShaktiYogaSchool.com

www.ShivaShaktiYogaSchool.com


Don't ask what the world needs. Ask what makes you come alive, and go do it. Because what the world needs is people who have come alive.
-Howard Thurman

Beth Zebal

unread,
Feb 25, 2017, 12:13:03 PM2/25/17
to ksa6ju...@googlegroups.com
once upon a time i used doculicious.com to create a form.
xox
To unsubscribe from this group and stop receiving emails from it, send an email to ksa6june2011...@googlegroups.com.

Nanette Bowen

unread,
Feb 25, 2017, 4:17:44 PM2/25/17
to ksa6ju...@googlegroups.com
Hello to all! 

It's such a great question. I've worked with various medical institutions regarding HIPPA compliance and  its a real concern.  Medical information is considered  protected, and there are fines associated with sending it through traditional email, even if you only on the receiving end. Current recommendations include working with either encrypted data,  or data that is sent through secure tunnels, both of which are expensive options.  For this reason I ask clients to return forms via snail mail. Some choose to return their info via email but I let them know regular email is not secure. At least they have the knowledge to make the choice:) 

Regarding Lyme, many of you know I had severe Neuro and systemic Lyme in 2013. I underwent Western and Functional medicine treatment with some success. Pranayama and PK at Vaidyagrama in India changed it up entirely and essentially healed me :) It has been a progressive unfolding journey for sure. I have such deep gratitude for these practices, and the wonderful friendships they've helped forge :) 

Yana, I've been treating Lyme pts with a blend of practices in Canada, East coast and in my hometown. I'd be happy to talk with you by phone to share some ideas that you may be able to pass on locally to your client. 

I also agree with Mikes comment about Margrit and Gerard. 

In gratitude to all of you, and I hope that you are in love with your  particular journey. 

Jai Bhagwan!

Nanette 


On Feb 25, 2017, at 11:18 AM, Mike Elliff <bdyw...@gmail.com> wrote:

To unsubscribe from this group and stop receiving emails from it, send an email to ksa6june2011...@googlegroups.com.

Terri Ryan

unread,
Feb 25, 2017, 7:45:00 PM2/25/17
to ksa6ju...@googlegroups.com
My two cents for what it is worth 🙃

In my Advanced Clinicals with Dr Anusha we speak about the form in regard to getting the best possible answers to the questions asked.  I like to think of Ashtavidha Pariksha. It is felt and observed that the most accurate answers come from speaking with the client directly- either in person or on the phone.  I fill the form out with them. So I have been handling my consultations this way instead of having the client fill them out first and mail or drop them off as I used to do.  This in the long run has saved me time and I don't have to worry about violating any laws.  It has saved me time and therefore the client in coming to the best diagnosis and treatment(s) for their situation. You get to dig a little deeper from the start. 

Thanks Yana for starting this conversation.  It is great to hear what others do or feel.


Sending love & light to all
Terri

Sent from my iPhone

craig dickson

unread,
Feb 26, 2017, 5:06:54 AM2/26/17
to ksa6ju...@googlegroups.com
I recently met someone whom had Lyme & found meditation to be the best solution.
To recover from the treatments & loss of energy.

Craig

--------------------------------------------
On Sat, 2/25/17, Aiyana Athenian <aiy...@shivashaktiyogaschool.com> wrote:

Subject: online form suggestions?
To: "ksa6ju...@googlegroups.com" <ksa6ju...@googlegroups.com>
Date: Saturday, February 25, 2017, 5:17 AM
> *Deep Roots Ayurveda*
> Certified Ayurvedic Practitioner & Community
Herbalist
>
> --
> You received this message because you are subscribed to
the Google Groups
> "KSA6JUNE2011" group.
> To unsubscribe from this group and stop receiving
emails from it, send an
> email to ksa6june2011...@googlegroups.com.
> For more options, visit
https://groups.google.com/d/optout.
>



--
Aiyana Athenian, LMT, E-RYT 500, pRYT, CAy
Co-Director ShivaShakti School of Yoga and Healing Arts
Experienced Registered Yoga Teacher- Yoga Alliance
Prenatal Registered Yoga Teacher- Yoga Alliance
Licensed Massage Therapist, NCBTMB
Certified Ayurvedic Practitioner (NAMA)
Ayurvedic Yoga Specialist
Doula (DONA)

Aiy...@ShivaShaktiYogaSchool.com
www.ShivaShaktiYogaSchool.com


Don't ask what the world needs. Ask what makes you come
alive, and go do
it. Because what the world needs is people who have come
alive.
-Howard Thurman

--
You received this message because you are subscribed to the
Google Groups "KSA6JUNE2011" group.
To unsubscribe from this group and stop receiving emails

Aiyana Athenian

unread,
Feb 27, 2017, 3:04:36 PM2/27/17
to ksa6ju...@googlegroups.com
Hi,

Thanks for all the awesome feedback. Very good to know about the client confidentiality/secure data piece with online forms. I hadn't been thinking along those lines, so I appreciate that reminder. Terri, I love the input on skipping the form and going with oral questions. 

Thanks too for the Lyme ideas. Helpful! Nanette, I'll send you a personal email to touch base on some of your experience in this arena.

Thanks again everyone.

Love,
Yana
 Aiyana@ShivaShaktiYogaSchool.com

Terri Ryan

unread,
Feb 27, 2017, 3:24:51 PM2/27/17
to ksa6ju...@googlegroups.com
Yana

Happy to share form we use when taking information orally.  Probably similar to what you might already use.  Just let me know.

Terri

On Mon, Feb 27, 2017 at 3:04 PM, Aiyana Athenian <aiy...@shivashaktiyogaschool.com> wrote:
Hi,

Thanks for all the awesome feedback. Very good to know about the client confidentiality/secure data piece with online forms. I hadn't been thinking along those lines, so I appreciate that reminder. Terri, I love the input on skipping the form and going with oral questions. 

Thanks too for the Lyme ideas. Helpful! Nanette, I'll send you a personal email to touch base on some of your experience in this arena.

Thanks again everyone.

Love,
Yana


On Sunday, February 26, 2017, 'craig dickson' via KSA6JUNE2011 <ksa6ju...@googlegroups.com> wrote:
I recently met someone whom had Lyme & found meditation to be the best solution.
To recover from the treatments & loss of energy.

Craig

--------------------------------------------

 > For more options, visit
 https://groups.google.com/d/optout.
 >



 --
 Aiyana Athenian, LMT, E-RYT 500, pRYT, CAy
 Co-Director ShivaShakti School of Yoga and Healing Arts
 Experienced Registered Yoga Teacher- Yoga Alliance
 Prenatal Registered Yoga Teacher- Yoga Alliance
 Licensed Massage Therapist, NCBTMB
 Certified Ayurvedic Practitioner (NAMA)
 Ayurvedic Yoga Specialist
 Doula (DONA)

 Aiyana@ShivaShaktiYogaSchool.com
 www.ShivaShaktiYogaSchool.com


 Don't ask what the world needs. Ask what makes you come
 alive, and go do
 it. Because what the world needs is people who have come
 alive.
 -Howard Thurman

 --
 You received this message because you are subscribed to the
 Google Groups "KSA6JUNE2011" group.
 To unsubscribe from this group and stop receiving emails
 from it, send an email to ksa6june2011+unsubscribe@googlegroups.com.

 For more options, visit https://groups.google.com/d/optout.


--
You received this message because you are subscribed to the Google Groups "KSA6JUNE2011" group.
To unsubscribe from this group and stop receiving emails from it, send an email to ksa6june2011+unsubscribe@googlegroups.com.

For more options, visit https://groups.google.com/d/optout.


--
Aiyana Athenian, LMT, E-RYT 500, pRYT, CAy
Co-Director ShivaShakti School of Yoga and Healing Arts
Experienced Registered Yoga Teacher- Yoga Alliance
Prenatal Registered Yoga Teacher- Yoga Alliance
Licensed Massage Therapist, NCBTMB
Certified Ayurvedic Practitioner (NAMA)
Ayurvedic Yoga Specialist
Doula (DONA)

Aiyana@ShivaShaktiYogaSchool.com
www.ShivaShaktiYogaSchool.com


Don't ask what the world needs. Ask what makes you come alive, and go do it. Because what the world needs is people who have come alive.
-Howard Thurman


--
You received this message because you are subscribed to the Google Groups "KSA6JUNE2011" group.
To unsubscribe from this group and stop receiving emails from it, send an email to ksa6june2011+unsubscribe@googlegroups.com.

Aiyana Athenian

unread,
Feb 27, 2017, 3:30:22 PM2/27/17
to ksa6ju...@googlegroups.com
Terri,

I'd love to see the form. Thanks so much!

Yana


On Monday, February 27, 2017, Terri Ryan <travel...@gmail.com> wrote:
Yana

Happy to share form we use when taking information orally.  Probably similar to what you might already use.  Just let me know.

Terri


--

Aiy...@ShivaShaktiYogaSchool.com
Reply all
Reply to author
Forward
0 new messages