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RETREAT INQUIRY
I am thrilled to explore the opportunity to offer you an incredible once in a lifetime experience.
Traveling to the land of magic is not an exaggeration.
Bali has much to offer that no where else on earth shares.
Please take some time to fill out the following questions and then share with me what questions I can answer for you.
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Email
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Your email
Name:
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Your answer
Phone:
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Your answer
Age:
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Your answer
Type of retreat you are interested in
Column 1
1:1 private
Private Couples Retreat
Small Group Retreat
Column 1
1:1 private
Private Couples Retreat
Small Group Retreat
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What would you like to receive from this experience?
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Your answer
Would you like the focus to be on inner growth, healing or adventure?
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Your answer
Have you previously travelled? How far have you traveled from home?
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Your answer
Why are you interested in going on a retreat?
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Your answer
What is it that draws you to Bali?
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Your answer
What is you biggest concern, if any?
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Your answer
Are you prepared to take a 27-30 hour flight to experience this magic?
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Your answer
How did you find out about this opportunity?
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Your answer
Please share any physical limitations or health concerns you may have, no matter how insignificant they may seem to you.
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Your answer
Do you experience diagnosed Anxiety, Depression or the effects of PTSD?
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Your answer
For Private 1:1 and Couple retreats, please indicate the approximate time frame you would like to consider. (eg: end of Jan, middle of March)
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Your answer
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