DIET QUESTIONNAIRE

First Name *

Last Name *

Email *

Phone *

Do you have any known food allergies, sensitivities, or items you prefer to avoid? Please select all that apply from the following list:

Other (please specify)

Have you ever experienced an allergic reaction to food?

If yes, please specify the food and describe the symptoms and severity of your reaction.

Do you have a specific dietary guideline / preference that you follow?

Other (please specify dietary guideline here)

Are there any medical conditions that impact your diet that we should know about?

Is there any additional information you would like to provide regarding your dietary needs or concerns?

NOTICE:

By submitting this questionnaire, you acknowledge that the information provided is accurate and that you understand the importance of informing the retreat organizers about any changes to your dietary needs as soon as possible.

Please note that while we will do our best to accommodate your dietary requirements, we cannot guarantee a completely allergen-free environment or the absence of cross-contamination. If you have had severe food reactions in the past, we strongly recommend carrying any necessary medications (such as epinephrine auto-injectors) for emergency purposes.

Thank you for taking the time to complete this questionnaire. If you have any further questions or concerns, please don't hesitate to contact us. We look forward to providing you with a delightful dining experience during your training.

JTN Team