Questionnaire – to help us understand your needs - Zhineng Qigong UK

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Name *

First

Last

with Do for

Email *

Phone Number *

Please share with us your intention for this retreat *

Do you have any food restrictions or preferences? *

Do you have any allergies? *

Current health conditions/ medications taken *

Emergency name and contact *

Please let us know a few times that work for you for a team member to give you call- they will confirm asap *

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