Name

First Name

Last Name

Have you attended a retreat before?

Yes

No

How would you currently describe your wellbeing?

Managing well just seeking rest

Physically depleted

Mentally or emotionally drained

Spiritually dry

Other

When you feel tired, stressed, or overwhelmed, what helps you feel restored or recharged?

Time alone

Being in nature

Exercising

Meaningful conversations with friends

Spending time with groups of people

Creative activities

Reading or journaling

Time with journal

Rest or sleep

Other

Would you prefer group discussions or quiet personal reflection during sessions?

Group discussion

Quiet reflection

Mix of both

On the second evening, would you prefer to:

Please note: to help us plan, we ask that you confirm your preference in advance.

Join the group for dinner (relaxed and informal)

Enjoy some quiet time and order room service