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client profile
Help us serve you better
Name
*
First Name
Last Name
Email
*
Phone
(###)
###
####
Birthday (day and month / year is optional)
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Preferred method of contact
Email
Text
Both
Emergency contact
*
(name, phone number and email address)
What do you prefer?
To rise early (between 6 - 8 am)
Sleep in (after 8 am)
If you could have one item for breakfast, what would it be?
If you could have one item for lunch, what would it be?
If you could have one item for dinner, what would it be?
Please name three of your favorite snacks?
What is your favorite candy?
Do you have any food allergies? (if yes, please indicate)
What is your favorite dessert?
Do you drink coffee, tea, both or none?
Do you have any dietary restrictions?
Are you vegan or vegetarian?
Do you drink red wine, white wine, either, both or none?
What is your favorite color?
What is your T-shirt size?
Do you experience motion/sea sickness?
What are you most looking forward to?
Thank you!