ContactForm – Instituto de Salud Epigenética

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CONTACT

Full Name

Phone

BACKGROUND

Given your stress level, the quality of your diet, your physical condition, and your sleep patterns

How would you rate your rate of aging?

Slow Normal Fast Accelerated

How would you rate your resistance to change?

Mild Moderate Severe Biological palette

How would you rate your health status?

Healthy Almost Healthy Moderately Healthy Not so Healthly

Have you suffered from or been diagnosed with any chronic-degenerative diseases in the last six months?

Yes No

Have you had previous experiences with retreats or wellness programs? What was your experience?

SPHERES

Biopsychosocial Sphere:

How would you describe your current level of stress and emotional well-being?

Are you currently receiving or have you received treatment for mental health?

How would you describe your sleep quality and rest patterns?

Is there any personal or emotional situation you consider important to share for your participation in the retreat?

Biomechanical Sphere

Do you have any medical conditions that could affect your mobility or physical well-being during the retreat?

Do you engage in any form of physical activity regularly? What and how often?

Have you experienced musculoskeletal injuries in the past? If yes, what was your recovery process like, and could it affect your participation in the retreat?

Have you received prior guidance or training in breathing techniques, mobility, or posture?

Biochemical Sphere

Are you currently taking any medications or supplements that we should consider during your participation in the retreat?

Have you had previous experiences with specific diets or eating patterns such as vegetarianism, veganism, ketosis, etc.?

Do you have any dietary restrictions or preferences that we need to consider during your stay?

Have you experienced notable changes in your weight or metabolism in recent months?

Do you suffer from dysbiosis or metabolic syndrome?

Have you undergone any surgical interventions, chemotherapy, or radiotherapy at any point in your life?

PREFERENCES

What are your expectations regarding physical, emotional, and mental well-being upon completing the retreat?

What is the participation duration you desire?

Half-week Two Weeks Four Weeks

What would be the best hours to contact you?

info@yaxal.org

Phone

(664) 709 3927 | (619) 361 8803

Address

Kilometro 112 Carretera Libre Mexicali – Tecate, Tecate, Baja California, Mexico

¡Te esperamos!

martes

8 pm Tijuana / Los Angeles