What Would You Like During A Health Retreat & Cleanse 1. Location & Accommodation 2. Experience 3. Personal Development 4. Lastly Spam protection, skip this field FYI - This is Completely Anonymous Location - Where would you prefer to stay during a health retreat? (you can choose more than one) Select all Beach / Tropical Forest Mountains River or Lake Secluded Close To Shops / Town What price per night would best suit you for accommodation? $150 - $200 $200 - $250 $250 - $300 $300 - $350 $350 - $400 $400 & Up (VIP) On a budget? Would you share a room with a friend or other participant? Yes, with a friend. Yes, I would love a roommate! I prefer my own room. What would you like most to get out of the cleansing health retreat? (you can pick more than one) Select all Learn About Health Topics & Lifestyle Weight Loss Info Spa / Massage Yoga Meditation Relax During Your Time, What Would You Like To Learn? Select all How to eat healthy and change my current lifestyle Learn techniques to overcome cravings and kick bad habits Get info on how to lose weight Prefer to relax / chill Best of both worlds; learn and chill How to eat plant based Learn more about food and recipes Learn about tips / tricks and how to prep for my week Discover what this cleanse is doing for my body Deep dive; learn more about the science of nutrition Personal Development & Mindset Skills (check all that apply) Select all I would love to learn the fundamentals! Self Love is a big focus in my life. This is very important to me and I would like to learn techniques and how to take control of my life. I am more goal oriented and would love to learn other strategies. My goal is to learn so I can help others. I would love to have one on one coaching I would prefer to relax and have quiet time to myself. Is there something you would like to say or add? Yes No Please share what you would like to add or say and thank you for your input! This form is completely anonymous but if you would like to attend one of Derek's cleanse/detox events please type your email address below to add yourself to a list for the next event! (optional) Yes, I want to do Derek's cleanse/detox, send me info! (optional)
