In Person Intensive

The MSE Miracle Intensive Questionnaire

In Person Intensive Questionnaire

Your Name

What day/time/airline do you arrive on?

What day/time/airline do you leave on?

What are your favorite snacks?

What are your preferred beverages? I personally always have to have a water, coffee, and bubbly drink so don’t hesitate to ask for all you want here!

Do you drink tea and/or coffee? What’s your favorite kind and how do you take it (i.e. cream, etc)?

Any allergies we should know about?

What is something you always want to have around (whether that’s a comfy blanket, a certain type of coffee, or a speaker to listen to music)? Let us know what will make you feel the most comfortable and at home!

Is there anything you’re concerned about related to your trip and stay in Tampa? Anything we can do to alleviate that?

Who is your emergency contact and how can we get in touch with them?

Any other special requests to make this the best experience possible? Don’t hesitate to ask!!

If you are human, leave this field blank.

The MSE Miracle Intensive Questionnaire

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