Taster DayPlease complete this form to register your interest. Name * First Name Last Name Email * 1. What brings you to Breathwork? * 2. What brings you to Inspirational Breathing? * 3. What would you like to achieve from this taster day? * 4. What would you like to share about your emotional, physical and spiritual experiences so far from birth? * 5. Anything else that you would like to share? 6. Will you be able to attend without any competing priorities or interruptions? This day is intended to be a retreat where you immerse yourself in exploring breathwork. * 7. Let us know about your physical and emotional health for the breath session. a) Physical Issues: Have you had any recent surgery or health problems such as whiplash, a heart condition, a pacemaker, breathing difficulties, if you are pregnant, please give details below. b) Emotional health: Do you have any particular emotions which predominate in your life, or any unresolved trauma that you are aware of? * 8. Do you take medication or self medicate? If so, please give brief details: * 9.a) Do you have any preferred essential oil scents? b) Do you have essential oil scents you dislike or have allergies to? c) Do you have any allergies to base oils? * Thank you!