Fill out the appropriate intake form and click SUBMIT :)


Gay Men's rejuvenation Retreat Additional Info

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Name
Do you need to borrow yoga mat? *

Foundation Intake

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Name

Nutrition intake

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Name
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Phone

Yoga Intake

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Name
Goals *
Check at least one

LIFE Intake

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Name
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Phone
Please answer the following questions *
Please answer the following questions
My personal health is on track
I have pretty consistent energy throughout my day
I expereince low mood states more than 1x per week
I am clear on my life purpose
I am really happy at work
I do some sort of movement practice for a minimum of 45min, 4 times a week
I am excellent at managing my daily stress
I enjoy and make time for theatre, dance, art etc. in my life
Every week I make time to incorporate activities that I label fun
I feel nourished by my living space
Every week I make time for activities that help me feel connected (i.e. gardening, cooking, meaningful conversation, meditation, etc.)