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Quiz

It is with great enthusiasm that we welcome you to Quintinha do Mar!
 
The information shared is completely confidential and will only be shared with our team, teachers, massage therapists and doctors.

Personal information

Selected Retreat

Select an option

How did you hear about Quintinha do Mar ?

Select an option

Emergency Contacts

Medical History

1. Problems or current problems 

Please tick all that apply and / or use the text box below

2. Other medical problems

If yes, please inform us details

3. Are you taking any medication (or have you been in
the last six months)?

4. Do you have any food allergies / intolerances / preferences?

Do you think this retreat can help you? If yes, how?
 

What would you like to achieve at Quintinha do Mar retreats?

By responding and submitting this questionnaire, I declare that I have read and accept the Terms of Use and Privacy Policies Conditions of Reservation and Participation and Non- Responsability Disclamer and Declaration of Consent.

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