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Yorkshire Retreats - General Health and Fitness

Please detail any special requests that you may require.

Please note: All questions require an answer, and you will receive a copy of your responses via email.

Click the button below to be guided through our questionnaire.

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Question 1 of 3

Health and Fitness

A

Generally healthy and exercise daily

B

Generally healthy but could exercise more...

C

Minor health issue/s but under control and exercise daily

D

Minor health issue/s but could exercise more...

E

Chronic health issue/s which may affect my participation

F

Other

Question 2 of 3

Do you suffer from or have you experienced in the past 6 months

(Select all that apply)
A

Stress

B

Depression

C

Mental illness

D

Insomnia or other sleep issues

E

Physical illness

F

Physical disability

G

Other

H

None

Question 3 of 3

Please elaborate if you have any conditions that we should be made aware of

Confirm and Submit