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TRIPOTO X Mind Your Wellness Retreat Form
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Hi There, So glad you are here. Ready to get this adventurous and healing journey started?
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Yes
No
This retreat has been carefully curated by the host along with a licensed and trained psychotherapist and we
are as much a part of this healing journey as you are.
So, what is your name?
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Your answer
How old are you?
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Your answer
And what do you do in your daily life?
A Job / Hobby / Talent / Skill / Curiosity
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Your answer
What does mindful living mean to you?
you do not necessarily need to know after all the course is to learn exactly that.
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Minding my own business and stop caring about societal expectations
A conscious effort and choice driven life, which gives an individual a meaningful experience on a daily basis
Mind over matter
How to mind and balance other's expectations and live at peace with the outside world.
Required
What are you hoping to gain from this retreat?
Honesty and Vulnerability are the two pillars of this retreat. Please respond with love and simplicity.
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Your answer
Have you ever attended a wellness retreat before?
This just gives us an idea about your journey, and helps in customizing your experience wherever possible.
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Yes
No
I have attended one day workshops
Do you take regular therapy or are you under any medication currently?
Gently and kindly, know the data here is confidential for internal use only.
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Your answer
What activities are you most interested in during the retreat?
Help us in making this journey as enjoyable, as it would be deep and transformational.
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Scheduled Sessions
Being in the presence of like minded people
Being in mountains
Road trip to Lahaul
Night Camping
Required
Do you have any specific concerns or fears about attending this retreat?
We all have fears, so its just best to address them now.
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Your answer
Do you have any physical limitations that we should be aware of?
Anything doctor prescribed or advised.
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Your answer
What kind of accommodation would you be interested in?
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Dorm for INR 13,299/person
Shared private room (Double Occupancy) for INR 15,599/person
Private room (Single occupancy) for INR 18,699/person
Excellent , finally what's your email address, so we can get back to you and send you a detailed itinerary?
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Your answer
Please also share your phone number.
We solemnly promise to not spam.
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Your answer
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