Amaru Spirit Questionnaire/Booking Form
Thank you for contacting Amaru Spirit, the home of holistic healing in the Peruvian jungle.

The booking form is a questionnaire so that we can:

- Collect your contact information.
- Confirm your intended dates of stay and which of our retreats are of interest to you.
- Collect your medical history to ascertain suitability for the treatment services available.
- Provide you with medical information pertaining to plant medicines.
- Provide our Terms & Conditions for your review and acceptance.

Please read all information carefully. There are several pages of questions, and a Submit button at the end.

At several places throughout in the questionnaire you are asked "Do you want to leave the questionnaire and save your results?" If you need extra time to think about your answers, feel free to use this. If you select YES to leave, when you click NEXT, make sure you select "Send me a copy of my responses" so we can send you an email with a link to return to the questionnaire at a later time.

Please note that if you prefer to contact us directly with any questions, for information about the retreats, to check availability, or if you would like us to send you the questionnaire as an email, do feel free to email us on bookatamaru@gmail.com or from the Contact Us page at amaruspirit.com/contact-us.

Thank you

Email address *
Full Name *
Your answer
What is your phone number? *
Your answer
Gender *
Which country do you live in?
What is your age? *
Your answer
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