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Open Up Retreats - Questionnaire
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Thanks for your interest in our Open Up Retreats! The following questions are designed to help our facilitators serve you best in the process. Please ensure your answers are as comprehensive 
as possible. 
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The more detail you provide in your answer, the better. We suggest you write at least 100 words.

If so, please share what type of breathwork and when, and briefly your experience. 

Do any of these contra-indications for breathwork apply to you?

"I have provided full and honest responses in this questionnaire and understand that a relationship of openness and good faith with the facilitation team creates the best foundation for a valuable experience.


I understand and agree that the Open Up Retreat is not a substitute for professional therapy. I understand that I undertake activities (including yoga, meditation and breathwork) at my own risk and I acknowledge that while I am participating in the Retreat or at the location of the Retreat, I assume the risk of, and the responsibility for any injury or illness that I suffer, or property damage or loss however such injury, illness, death, loss, or damage may occur, to the extent permitted by applicable law. 

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I agree to release and indemnify the Releasees against all and any liability or claims arising out of or in connection with any illness, injury, death, property loss, or damage that I may suffer or incur directly or indirectly caused by the negligence, breach of duty, breach of contract, or breach of statutory duty by the Releasees, or in any way whatsoever, while I am participating in the process or present on the premises where the Retreats is conducted to the extent permitted by applicable law.

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I do not expect the experience to be a ‘magic bullet’ that will provide an instant fix for long-term problems I see in my life.

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I understand that I may be refused participation at any point prior to or during the retreat if I am deemed unfit for participation, or if there are concerns for my safety, or the safety of the group."

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We will only contact this person in the case of emergency.

Privacy statement

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Thank you for taking the time to answer our questions. They are designed to help our facilitators best serve you on the retreat. All answers are entirely confidential, so the information you provide to us will not be shared with other participants on the retreats or anyone outside the Open Up Retreat team. 

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The content of your retreat application will be stored in a database accessible only by members of the Open Up team. Your data is held for the purpose of evaluating your suitability for the retreats programme, and is not passed on to anyone outside of the Open Up organisation.

Thank you for your openness and for taking the time to answer our questions.

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