What is it in life that you seek?
How is your life at the moment? (write a short summary)
What are you expecting from this retreat?
Do you have any food or environment allergies?
Please briefly describe your meditation experience
Please briefly describe your yoga experience
If you have a spouse, partner or family member participating in the retreat, please
Do you have any health problems such as diabetes, asthma, high blood pressure,
hepatitis, epilepsy, heart disease, etc?
Are you consuming any drugs such as narcotics, cocaine, marijuana, heroine etc?
If so, please give details such as
quantities and frequency of consumption
Are you currently under doctor's care and/or taking medications? If so, please
specify both the condition and the medication. Are you currently taking anti-
depressants, mood altering drugs, supplements or tranquilisers?
Please briefly describe your experience with Meditation / Yoga workshops or group