Vita Vie Retreat
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BOOK - THE SANCTUARY EXPERIENCE
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Home
/
ABOUT
/
Press
/
RETREATS
/
Vita Wellness Camp
Private Retreat
The Sanctuary Experience
FAQ's
WELLNESS
/
THE BALANCED BODY
MINDSET MOMENTUM
Contact
/
BOOK NOW
/
RATES & DATES
BOOK - VITA WELLNESS CAMP
BOOK - PRIVATE RETREAT
BOOK - THE SANCTUARY EXPERIENCE
Blog
/
SHOP
/
A fitness retreat and weight loss boot camp in Delray Beach, FL to reboot body and mind.
Private Retreat Form: Leigh & Julia Polster
Home
/
ABOUT
/
Press
/
RETREATS
/
Vita Wellness Camp
Private Retreat
The Sanctuary Experience
FAQ's
WELLNESS
/
THE BALANCED BODY
MINDSET MOMENTUM
Contact
/
BOOK NOW
/
RATES & DATES
BOOK - VITA WELLNESS CAMP
BOOK - PRIVATE RETREAT
BOOK - THE SANCTUARY EXPERIENCE
Blog
/
SHOP
/
Name
*
First Name
Last Name
Please explain any/all medical issues (ex: high blood pressure, heart disease). If none, type n/a.
*
Please list any medications you are currently taking and their reason. If none, type n/a.
*
Please tell us about any/all physical issues, current injuries or past injuries. If none, type n/a.
*
List any/all supplements you are currently taking. If none, type n/a.
*
Which types of activities have you done in the last year?
*
Cardio
Strength Training
Flexibility
Group Fitness Classes
Yoga
Pilates
Functional Movement
Mobility and Range of Motion
Sport Specific Conditioning
Meditation
Core Training
Balance Training
Sound Healing
Reiki
Dance
Running
Walking
Sports
Which of these goals interest you for your retreat? Choose all that apply.
*
Overall Fitness
Weight Loss
Stress Reduction
Build Better Healthy Habits
Flexibility & Range of Motion
Sport Specific Goals
Mind + Body
Rejuvenation
Mindset
Cardiovascular Health
Balance
Other
What is your long term goal?
*
What's your overall goal and/or what do you want to accomplish during your retreat?
*
What would a perfect day of sessions look like to you?
Which types of sessions interest you for your private sessions?
*
Balance Training
Ballet
Beach workouts
Cardio Sessions (varied styles)
Cardio Kickboxing
Weights
Bodyweight
Boot Camp
Resistance Bands
Medicine Balls
Core Conditioning
Functional Training
Flexibility & Mobility
Stress Reduction Techniques
Meditations
Full Body Stretch
Foam Rolling
Myofacial Release
Assisted Stretch
Yoga - light, restorative
Yoga - medium to intense
Pilates Mat
At Home Workouts
On The Go Workouts
Running
Walking
Tennis Training
Golf Training
Sound Healing
Nature Meditations
Chakra Balancing
Reiki
Aqua Strong (paddle board workout in pool)
Beach Yoga
Which types of sessions interest you for your semi-private sessions?
*
Balance Training
Ballet
Beach workouts
Cardio Sessions (varied styles)
Cardio Kickboxing
Weights
Bodyweight
Boot Camp
Resistance Bands
Medicine Balls
Core Conditioning
Functional Training
Flexibility & Mobility
Stress Reduction Techniques
Meditations
Full Body Stretch
Foam Rolling
Myofacial Release
Assisted Stretch
Yoga - light, restorative
Yoga - medium to intense
Pilates Mat
At Home Workouts
On The Go Workouts
Running
Walking
Tennis Training
Golf Training
Sound Healing
Nature Meditations
Chakra Balancing
Reiki
Aqua Strong (paddle board workout in pool)
Beach Yoga
Comments:
Session Timing Preferences - Select all that apply.
*
*Please note, this varies on availability and what best suits your schedule.
7am
8am
9am
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
What else (if anything) would you like us to know?
Thank you!