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First name
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Last name
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Email
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Phone
Which Retreat are you interested in?
Why are you interested in this retreat?
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How did you hear about us?
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How long of a Retreat are you interested in?
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Specify duration
Will you cut/shave your hair?
Clothing Restrictions
What are your dietary prefereces? (Is everything Ok, Vegetarian, No gluten, Fasting, Diabetic, etc.)
Related Guests
Physical Excercise Preference
I prefer excercises daily
Light excercise is OK
No Excercise please
Other
Structure (Schedule)
I prefer a strict schedule
I am OK with some structure
I prefer a spontaneous, loose structure
Other
Dharma Talks
I prefer interactive discussions (talking)
I prefer mostly listening to Dharma Talks (questions on piece of paper)
I prefer silence
Other
Meditation
I would like to meditate a lot
I don't mind meditating occasionally
I do not meditate
Other
I am interested in (multiple)
getting in the water (swim, snorkle, boogie board)
hiking
SUPs (Stand Up Paddle)
laying in hammocks
stargazing
bonfires
drumming
swimming with Manta Rays
rock balancing
natural mandalas
giant bubbles
flying kite
walking meditation
sitting meditation
Other
Free Time preference
Please list those teachers, spiritual or intellectual publications that influenced you.
Silence Preference
I would like regular interactive personal discussions
I prefer mostly silence, with daily Dharma Talks
I would prefer total silence
Other
Staying Home vs Going Out
Smartphone Use
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