Fruitarian Eutopia Questionnaire
Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date
Body Mass Index (BMI)
Height (cm)
Weight (kg)
Email
*
example@example.com
Type of stay?
*
Please Select
Volunteer 10 hours (Room)
Volunteer 10 hours (Tent/Camping)
Rent (Room)
Rent (Tent/Camping)
8 day fruit & fast retreat
15 day fruit & fast retreat
22 day fruit & fast retreat
30 day fruit & fast retreat
When do you wish to arrive at Fruitarian Eutopia?
*
When do you wish to arrive at Fruitarian Eutopia?
*
-
Day
-
Month
Year
Date
How long do you wish to stay
*
Will you arrive at Fruitarian Eutopia with others?
*
Yes
No
What interests you in visiting Fruitarian Eutopia?
*
How do you think you will spend most of your time?
*
Do you have any physical, psychological or other health issues? If so what are they?
*
Please provide full url to any social media profiles (Facebook, Youtube, Instagram etc) or websites that you have?
How is your financial situation? How do you earn your living? What would you do if you run out of money while staying at Fruitarian Eutopia?
*
What particular skills, interests or fields of knowledge do you possess and enjoy sharing? What is your work experience?
*
Have you visited any other intentional communities, retreats, wellness centers in the past? How was your experience there?
*
What is your police/criminal record? Any offences & convictions?
*
Do you consider yourself to be vegan? How long have you been vegan?
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When was the last time you ate meat, fish, eggs, milk, cheese, seafood, insects, honey?
What are your thoughts & experiences on raw vegan, frugivorous, fruitarian diets?
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When was the last time you ate cooked food?
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What is your intended diet
*
What are your thoughts & experiences on intermittent, water, dry fasting & juice feasting?
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What are your thoughts on platonic & amorous relationships? Conception & procreation?
*
What are your thoughts on C-19 vaccines & pandemic? Are you vaccinated and the reason behind your choice?
What are you thoughts and experiences regarding mind altering psychoactive substances such as hallucinogens, plant medicines, alcohol, tobacco, cannabis, coffee, cacao etc? Do you currently use such substances?
*
What would you recommend as sources for nutrition & health?
Are you familiar with the concept of "Non violent communication" by Marshall Rosenberg?
*
Yes
No
How did you find out about Fruitarian Eutopia?
*
Please tell us about yourself?
*
Have you read the Fruitarian Eutopia website thoroughly? Do you agree with the requirements written at https://www.fruitarianeutopia.com/what-is-required
*
Yes
No
Submit
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