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YOGA RETREAT HEALTH QUESTIONNAIRE

Your retreat with us is approaching! Please take a moment to answer the following questions clearly and thoroughly. We want to know how to best support and nourish you during your Yoga retreat. Rest assured, all information you provide is kept confidential. If there is something you prefer to discuss privately, feel free to contact us directly.

Personal Informations

Emergency Contact

Health and Food

Do you have any dietary restrictions or preferences?
Do you have any food allergies? If YES, explain
Do you have any medical conditions we should be aware of? If Yes, explain
Are you currently taking any medications? If Yes, explain
Do you have any physical limitations or injuries? If Yes, explain
Do you have a history of any of the following conditions?
How would you describe your current level of physical activity?
Is there any other health-related information you would like to share with us? If Yes, explain
Do you have any specific health goals for this retreat? If Yes, explain

Thank you so much for helping us gather all the information we need to look after you in the best way we can.

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