Participant Screening Form - Truffle Retreat
We are grateful for your interest in attending the Truffle Retreat in the Netherlands. In order to ensure the safety and wellbeing of all attendees, we need to ask you some essential questions about your health and background.

Please complete this questionnaire as thoroughly and honestly as possible. It is very important for us to be aware of any medical conditions, medications, supplements, life experiences, or habits that could influence your experience. Our interest is in helping you have a safe and meaningful experience. 

This is a confidential record.
Your answers to these questions will be kept confidential and will only be used to determine your eligibility to attend the retreat. If you have any concerns or questions, please don't hesitate to contact us.
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