Name
*
First Name
Last Name
Email
Phone
(###)
###
####
Age
Gender Identity
Occupational Background: What is your current profession? How long have you been in this profession?
Physical Health Status: Do you have any physical health concerns or dietary restrictions we should be aware of?
What are your primary reasons for attending this retreat? (Options might include relaxation, personal growth, professional development, health and wellness, spiritual awakening, etc.)
What do you hope to achieve by the end of the retreat?
Describe your personality in a few words.
How do you handle stress or unexpected challenges?
What types of activities energize you? (Options might include social interaction, solitary reflection, physical activity, creative pursuits, etc.)
What types of environments do you feel most comfortable in? (Options might include quiet/secluded, dynamic/social, nature-centric, urban, etc.)
Have you participated in any retreats before? If yes, what type? What did you like/dislike about those experiences?
What are your expectations for this retreat?
Are there any specific topics or activities you are particularly interested in exploring during the retreat?
On a scale from 1 (not comfortable) to 5 (very comfortable), how open are you to including spiritual or esoteric practices (often referred to as "woo-woo") in your retreat experience? (Options might include meditation, energy healing, astrology, tarot, etc.)
How do you prefer to interact with others in a group setting? (Options might include leading discussions, facilitating activities, listening and observing, etc.)
Describe a time when you worked well in a group. What contributed to this experience?
How open are you to sharing personal experiences and challenges with others?
Any specific accommodations or support you might need during the retreat?
Are you comfortable with the logistical arrangements (e.g., type of lodging, meal plans, activity levels)?
How committed are you to fully participating in all scheduled activities of the retreat?
Do you have any concerns or reservations about attending the retreat?
Is there anything else you would like the facilitators to know to better assist you during the retreat?
