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Intake form
Help us serve you better
Name
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Email address
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What is your primary goal for attending the retreat?
Please select at least one option.
Detoxification
Stress Relief
Spiritual Growth
Physical Wellness
Mindfulness Practice
Have you participated in any wellness retreats before?
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No
How did you hear about the reset experience?
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Social Media
Friend/Family
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What is your preferred method of contact?
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Email
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Which service or services are you interested in?
Please select at least one option.
Detoxification retreat
Yoga immersion
Sound healing journey
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