Yoga for Health – Detox Program

Name *

First

Last

Address: *

Nationality *

Email *

Telephone Number *

Are you alumni of AMYA-AMIA - Ananda Marga (Yoga) International Academy ? *

If Yes! Which year you graduated from AMYA-AMIA?

What is your diet?

Have you ever done fasting before?

What is your main motivation for doing this graduated fasting program?

What Physical issue would you like to solve by attending this program?

What Mental issue would you like to solve by attending this program?

Please use this field if you wish to share more