Metta Vipassana & Hollyhock Retreatant Questionnaire - 2 Week Program
Email address *
Please answer the following questions about your meditation, medical and psychological history. THIS INFORMATION IS KEPT STRICTLY CONFIDENTIAL; its use is for the retreat teachers to more skillfully guide you in your practice. It will be used to assign personal and/or group interviews and will be destroyed at the end of your retreat. PLEASE BE AS DETAILED AS POSSIBLE.
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