Hi. I hope you and your loved ones are all well. This questionnaire has the purpose of providing me with some basic information which will be useful in making our meeting more productive as well as making sure that no part of the work could be a problem for you. Health information is particularly important to be considered. Please answer the following questions in a concise way and return the information as soon as possible. If you don't feel comfortable answering any of the questions, just leave it blank. Your information is kept strictly confidential. Type or print your answers in the space provided next to or directly below the questions, using another sheet of paper or the reverse side of this application if necessary. Please understand that handwritten applications which are difficult to read will not be accepted. I appreciate your time and attention. I look forward to seeing you soon. Warm regards, Victor Sanchez BASIC INFORMATION (REQUIRED) 1. Name 2. Gender 3. Age, Weight, and Height 4. Place of Birth 5. Address 6. E-mail address 7. Phone and fax numbers 8. Profession 9. Current job (including the kind of business, status in the organization if applicable, and kind of responsibilities you have there) 10. Your primary language and if you speak other languages say what percentage you are fluent in each 11. Marital status 12. List the name, sex and age of your children (if applicable) HEALTH INFORMATION (REQUIRED) 13. List any illnesses you have or have had affecting your heart, spinal column, bones, mental disorders, as well as AIDS or other major ailments. Also, explain if they have been solved or how you are handling those that are still present. 14. Explain, if you have any physical restriction or other special medical situation that you take care of currently 15. List any addictions present in your life 16. If you have any addiction which restraint could be a problem for you during fieldwork, name it here (remember that smoking cigarettes or consuming any illegal drug or alcohol is not allowed during our activities) 17. If you have any strict limitation regarding the kind of food you should get or avoid during our activities, mention it here. 18. List here any sports you practice and frequency 19. Some of our retreats include activities in the water. Check mark the option that better describes your experience with swimming. I don?t know how to swim of float ( ) I know how to swim but not how to float ( ) I know how to float but not how to swim ( ) I am a beginner swimmer ( ) I am an average swimmer ( ) I am a very good swimmer ( ) I am able to rescue other swimmers ( ) 20. List here any kind of alternative knowledge, spiritual path, or personal growth system you practice or have practiced in the past 21. Have you read any of the books of Victor Sanchez or participated before in any of his workshops or events? If the answer is yes, list here the books by him you have read, the events you have participated in, and -if you remember- include the approximate dates of the events in which you participated. Note: Remember that reading some of VS books or at least the introductory pages, could help you to make your work during the workshop more efficient and your results even stronger. 22. If this is true for you, mention here if you are familiar with or have read books from Castaneda, Toltec tradition or about shamanism. PERSONAL SITUATION (Required to applicants for private or semi-private work, optional for the rest) (The following part is optional for you to answer and is meant to help in the design of the program that you would be following. The more i know about your needs, the better I can help you. Remember that this information is kept confidential and that you may leave blank whatever you prefer not to talk about) 23. Explain in a very short comment (less than four lines) how your current relationship is with the following topics: a. Love relationships b. Sex c. Money d. Spiritual life e. Family f. Society g. Your body h. The organization in which you work 24. List the five things you like the most about your life 25. List the five things you dislike the most about your life 26. List five things that you feel fear about 27. List five things you feel more love about 28. What is the program or programs that your are applying for? 29. Explain briefly the reasons that are making you want to work with Victor Sanchez and what would you like to achieve through this work 30. If you want to add any additional comments to this questionnaire, write that here 31. Please provide a recent photo of yourself El Arte de Vivir a PropĒsito http://www.toltecas.com AVP 369 Montezuma Ave #286 Santa Fe, NM 87501 Phone (505)796 5715 Fax (505)796 5715 Email avpoffice@toltecas.com