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Name
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Email
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Phone
What are you currently dealing with? What is the reason you are here on our site? What would you like to improve/change for yourself?
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Health & Well-being for more quality of life
Personal Development & Growth
Family & Relationships
Career & Profession
Actually Everything
Our retreat specializes in initiating consciousness-expanding processes in harmony with nature, guiding you both physically and mentally to the next level. Which areas of your life would you like to transform?
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Finding life's purpose / meaning of life and calling
Working with traumas
Solving depressions / fears / burnout & stress
Letting go of negative beliefs
Exploring consciousness and having a spiritual experience
How would you currently rate your mental & emotional health?
Selected Value:
1
Not Good ----------------------------------------------------------------------------- Good
How would you rate your physical health at the moment?
Selected Value:
1
Not Good ----------------------------------------------------------------------------- Good
Do you have (if applicable) a medical report/record?
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Yes
No
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