The Fasting Path
Spiritual Cleansing Retreats – Fasting, Yoga & Medicine
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Forms
Name
Dates of Retreat Attending
Type of Accommodation preferred
Home address
Phone Number
Email address
Age
Gender
Height / Weight
Do you see yourself as under weight or over weight?
Are you a vegetarian, vegan, raw foodist, fruitarian, liquidarian or breatharian? If so, which & how long?
How would you describe the way you eat?
Do you eat or drink on a regular basis...
Meat
Dairy (milk, eggs, cheese)
Vegetables
Fruits
Sweets (chocolate, candy, desserts, etc)
Fried foods
Raw foods
Soft drinks (soda, canned/bottled juices, etc)
Caffenated drinks
Coffee
Alcohol
Filtered/purified water
What do you eat/drink most often?
What foods do you crave?
How do you choose your food (taste, health, calories, convenience, etc)?
Do you cook your own foods? How often?
Do you own a juicer? How often do you use it?
Do you exercise? What type and how often?
Describe how you you sleep?
Do you take any supplements? If so, what?
Do you take any medications? If so, for what?
My health is... (fill in the blank with as many descriptions as possible)
Please answer with as many descriptive words as possible.
My body is... (fill in the blank with as many descriptions as possible)
Eating is... (fill in the blank with as many descriptions as possible)
My weight is... (fill in the blank with as many descriptions as possible)
Fasting is... (fill in the blank with as many descriptions as possible)
My life is... (fill in the blank with as many descriptions as possible)
Have you ever done a fast/cleanse? What type/how long?
If yes, what was your reason for doing it?
What was your experience like?
Do you currently do any spiritual/contemplative practices (yoga, meditation, tai chi, etc) Please describe.
Have you ever worked with medicine plants? If so, describe your experience.
How would you describe your spiritual beliefs?
Do you have any physical, mental or emotional challenges that you would like to address during the retreat? Please explain.
Do you tend to enjoy being alone or with others?
What are the top values in your life right now? (what's most important to you)
What is your reason for wanting to attending the retreat?
What outcomes would you like to see as a result of attending the retreat?
Do you have any fears or concerns about the retreat? if so, please describe them.
How did you find The Fasting Path?
Anything else that you would like me to know or ask?
Upcoming Events
June 9, 2012 - June 10, 2012
(All Day)
Body & Mind Expo - Netherlands
June 23, 2012 - June 27, 2012
(All Day)
Angel Retreat Germany
June 30, 2012 - July 6, 2012
(All Day)
Conscious Cleanse Netherlands
July 14, 2012 - July 20, 2012
(All Day)
Conscious Cleanse Austria
July 23, 2012 - July 29, 2012
(All Day)
Conscious Cleanse Austria
August 16, 2012 - August 22, 2012
(All Day)
Conscious Cleanse Hungary
September 7, 2012 - September 13, 2012
(All Day)
Conscious Cleanse Hungary
November 21, 2012 - January 27, 2013
(All Day)
Conscious Cleanse Peru
View All Events
Messages from Twitter
"Mantra is a seed that will eventually grow into a tree. The tree is Self/God-Realization. Om Namah Shivaya!"
about 1 month ago
@thefastingpath
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