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Return to Your Rhythm
Costa Rica Retreat
First name
*
Birthday
*
Month
Day
Year
Name two songs that bring your great joy. (Song Title and Artist)
Name three topics you love conversing about.
*
What is a fun fact that most people don't know about you.
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I would love to receive my massage in the... (check all that apply)
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1. Morning
2. Afternoon
3. Evening
If you chose more than one, please put in numerical order starting with most desired.
What things are an absolute NO for you?
*
What does receiving support look like for you?
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What does receiving support not look like for you?
*
What is your biggest fear?
*
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