Contact Rasa Ayurveda

Rasa Ayurveda Healing Center for Women
Trivandrum (Thiruvananthapuram), Kerala, India India tel - 91-0471-236-5714 US tel - 011-908-638-8843 info@RasaAyurveda.com • www.RasaAyurveda.com For information on group trips based at Rasa Ayurveda, please visit:
www.AyurvedaTrip.com

Have questions? Fill out the inquiry form below, send us an email or give us a call.

Inquiry

We're delighted that you're interested in coming to Rasa Ayurveda
Traditional Healing Centre! We'll be happy to answer your questions, and
help you book your stay.

Help us get to know your needs by filling out this form. We'll be in touch with you within 48 hours.

First Name *
Last Name/Good Name *
Email *
Country *
* Required
I am a (check all that apply)
Woman
Student
Health Practitioner
Herbalist
Yoga Teacher
Group Leader/School Administrator
Travel Planner
Writer/Scholar/Journalist
Other
How would you like to come to Rasa? (check all that apply)
Come on my own
Come with friends or family
Join a group trip
Join a group trip and add on days of treatment at Rasa
Bring a group of my own
Not sure yet
When would you like to come to Rasa?
Season, Month/Year...?
My main interest in coming to Rasa is: (check all that apply)
Addressing health issues
Detoxing and rejuvenating thru Pancha Karma
Experiencing Ayurveda/Siddha Vaidya and taking personal retreat
Learning about traditional Ayurveda/Siddha Vaidya, herbal medicines, cuisine and culture
Not sure yet
Are you ready to book now?
I'm ready to book	I have some questions
How would you like to be contacted ?
Telephone
Skype
Email
Not at this time
When would you like to be contacted?
Would you like to schedule chat session on google chat, skype or yahoo? If so, enter your email address for chat connection:
Which language are you most comfortable speaking in? (check all that apply)
English
Spanish
French
German
Italian
Danish
Dutch
Japanese
Chinese
Arabic
Swedish
Hindi
Malayalam
Other
How did you hear about us? Who can we thank? (check all that apply)
Web Search
Friend
My School
My Ayurvedic Practitioner
My Yoga Teacher
A Mayashakti Event
Other