I want to get to know you.Looking forward to spending time with you. Name * First Name Last Name Email * Phone * (###) ### #### What services are you interested in? * Breathwork & Cold Plunge - Float Centre (Halifax, NS) Breathwork & Cold Plunge - Naturefolk (Dartmouth, NS) Breathwork Only - Individual booking Cold Plunge Only - Individual booking Breathwork Only - Group booking Cold Plunge Only - Group booking Do you have any of the following health related conditions? Check all that apply: * Anxiety Depression Heart condition(s) Breathing / Lung condition(s) Seizures Pregnant Other If Other please explain: How did you hear about SerenDIP Therapy? * Social Media Poster in venue Word of mouth Other What reason(s) did you decide to book with us today? * There are no wrong reasons to take care of yourself. This will allow us to to help you as best we can: Thank you so much for taking the time to complete this form so that I can help you to the best of my ability and allow you to leave feeling the best version of yourself.
