The Healing Farm's Women's Health Retreat team is so excited you'll be joining us! Please take a few moments to fill out this questionnaire to help us better accommodate you and to help us make your experience as fruitful as we can!

Name

First Name

Last Name

How did you hear about this retreat?

If you are rooming with someone, please confirm the name of your roommate.

Do you have any mobility issues we need to know about to help better place your accommodation on the property?

Please tell us a little about why you are attending this retreat and what you are hoping to learn from Dr. Nett.

Would you like to be added to the Facebook discussion group?

What is your yoga/fitness level?

Our meal plan will be a "paleo reset" as described in Chris Kresser's book "The Paleo Cure". There will be no sugar, dairy, grains, soy, industrial seed oils or alcohol, but please let us know if you have any other dietary restrictions.

Don't forget to look at the "travel info. and what to bring and do" page on The Healing Farm site for detailed information about the retreat and how to prepare, but if you have a specific question, please feel free to ask here or e-mail me directly: julie@thehealingfarm.com

Women's Health Retreat Questionnaire

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