Registration for "Phoenix - Heart Awakening" retreat

Thank you for your registration. You will receive a confirmation email with futher details including a deposit payment soon. We can guarantee your place only after prepayment.
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"Phoenix - Heart Awakening"
week long retreat of sexual healing and awakening your heart potential
Facilitator: Estera Saraswati &Team
29.07 - 5.08. 2018, Turkey
Contact to organiser, Murad: kelesoglus@hotmail.com

Full name *
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E-mail address *
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Mobile number with direction code *
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Gender *
Age *
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Nationality *
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Country of living *
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Deeper motivation of your participation *
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Do you have experience of sexual healing work? what kind of? *
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Short relation with your sexuality *
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Have you experienced in your life and emotional, mental or sexual abuse or trauma? what kind of? *
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Any episodes, or medication for, psychiatric or emotional conditions. (e.g. depression, anxiety, psychosis, bi-polar disease, obsessive compulsive behaviour, eating disorders, addictions)? *
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Are you chronically ill ? (arythmia, epilepsy, heart disorders, diabetes, hypertension, hypotension etc) *
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Do you take any medicines for any illness changing your mood or state of consciousness? which ones? *
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Have you worked with Estera before? what was it? *
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How do you know about this retreat? *
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Any special diet needs
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Comments, questions
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