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Who is on your Health team? Therapists, doctors, homeopaths, etc?
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Are you skeptical about Alternative Medicine and practices?
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Do you experience allergic reactions to any foods, drugs, or environmental substances?
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Are you currently taking any medications or supplements?
If yes, please explain for what reason….
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Do you have any physical challenges or medical conditions that would make exercise or bodywork difficult or impossible?
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Please list any injuries or surgeries that you may have had in the past.
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Do you have high/low blood pressure, circulatory problems, diabetes, or ANY other medical disease that you are challenged with?
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Do you smoke or drink alcohol? If yes, how much?
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Do you have special dietary needs we should be informed of?
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During the retreat, would you be able to follow a simple vegan diet and fast ocasionally? If not, what is the reason?
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Would you consider yourself mentally balanced and stable? Have you ever had psychological or psychiatric treatment?
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Would you consider yourself emotionally balanced and strong? |
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Anything else you would like to add?
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Thank you for taking your time to answer the questions. Hit SUBMIT button below. On the next page, hit CONTINUE.
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