Please be advised that the reservation for 2019 has been completed.

If you are interested in going to Bantayan Island, Philippines, please fill out the form below. This will allow us to prepare an individual stay program for each person. The provided information and personal data will be processed only for the needs of the Wellness SPA organizer and are confidential.

IMPORTANT. All people who will be welcomed at the Wellness SPA are invited to familiarize themselves with the theories of healing hunger. We recommend reading Giennadi Malachov’s book “Healing hunger“. We also ask you to perform a food intolerance test before departure (so-called “Vega Test”).

Warning! Due to the large number of reservations and a limited number of places
the order of payments will determine the departure.

Date of your stay (Termin pobytu)

Choose the package (Wybrany pakiet)

Medical history (Przebyte choroby)

Asthma (Astma)

Diabetes (Cukrzyca)

Heart diseases (Choroby serca)

Pacemaker (Rozrusznik serca)

Hypertension (Nadciśnienie tętnicze)

Lung diseases (Choroby płuc)

Kidney diseases (Choroby nerek)

Gastrointestinal diseases (Choroby układu pokarmowego)

Liver diseases (Choroby wątroby)

Blood diseases (Choroby krwi)

Cancers (Choroby nowotworowe)

Thyroid diseases (Choroby tarczycy)

Eye diseases (Choroby oczu)

Nervous system diseases (Choroby układu nerwowego)

Respiratory tract diseases / Choroby dróg oddechowych

Locomotor system diseases (Choroby układu ruchu)

Immune system diseases (Choroby ukladu odpornościowego)

Parasitic diseases (Choroby pasożytnicze)

Skin diseases (Choroby skóry)

Depression (Depresja)

Fungals (Grzybice)

Spine diseases (Choroby kręgosłupa)

Inflammations (Stany zapalne)

Anemia (Anemia)

If possible fill fields below in English (Jeśli to możliwe wypełnij po angielsku).

Describe your illness briefly (Opisz krótko swoje choroby)

Operations (Przebyte operacje)

Allergies (Uczulenia)

Medications taken, supplements (Przyjmowane leki, suplementy)

Cigarettes (Papierosy)
How many and from when (Ile i od kiedy)?

Alcohol (Alkohol)
How many and how often (Ile i jak często)?

Why do you want to take place the healing hunger and what do you expect after it (Dlaczego chcesz przeprowadzić głodówke i czego oczekujesz po jej zakończeniu)?

I confirm that the information given in this form is true

(Oświadczam, że powyższe dane są zgodne z prawdą)

Note! Please check all form fields before posting. After you click Send, please wait a moment until the following message appears:

(Uwaga! prosimy przed wysłaniem o sprawdzenie wszystkich pól formularza. Po nacisnięciu SEND (WYŚLIJ) prosze chwilę odczekać aż do pojawienia się poniższego komunikatu)

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