Month(s) of Interest
January February March April May June July August September October November December

Possible Dates of Interest:

Weekend? Yes No
Weekday? Yes No Total # of nights?

Venue Preferences:

Berkeley Springs, WV:
None Selected Rural: Sleepy Creek Retreat In Town: Bed & Breakfast Dude Ranch Private Country Home
Maryland/Pennsylvania
None Selected Frederick Mechanicsburg
Southern California:
None Selected La Jolla San Clemente
New Mexico:
None Selected Ojo Caliente Hot Mineral Springs
Costa Rica:
None Selected Pura Vida Spa: Feb. 23 - Mar. 2, 2002
On-Site Location:

Total # of people?
Couples?   Singles?   Or Both?

Please provide name, address, phone, fax and email
information for each additional member of your party:

Primary Interests:

What do you want to experience?

What do you want to take home with you?

Do you desire a private custom program for yourself?
Yes No
Small group with friends/relatives? Yes No
included in another group? Yes No
Large group? Yes No
corporate? Yes No
Agency? Yes No

Comments:

Note: Body Arts Therapeutics should in no way
be a replacement for your doctor's care. If you are
currently being treated, you are expected to consult
with the physician/therapist prior to contracting
with Suzen.

Physical Limitations? Please Explain.

On Medication? Please Explain.

Areas of Interest (please check all that apply).

Corporate/Agency Wellness Seminar ~ On-site
Wellness Needs Assessment
Aqua Yoga/Massage
Hatha Yoga
T'ai Ji
Meditation
Guided Visual Imagery
Integral® Massage
Foot Reflexology
BodyMind Acupressure
Selfcare~Couples Massage Getaway
Selfcare~Guided Self Acupressure Face Massage
Selfcare~Acupressure Points for Special Needs
Intro to Aromatherapy
Whole Women in Midlife
Jain Philosophy, Psychology and Practice
Weight Loss
Nutritional/Herbal/ Supplements/Homeopathics
Vegetarian Cooking Demo and/or Meal