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Age
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Health & Well Being
How would you describe your current physical health?
Have you ever participated in a well-being or healing retreat before?
Are you currently dealing with any medical conditions or have any known health concerns?
Do you currently practice any forms of wellness activities (e.g., yoga, meditation, breathwork, fitness, others?
Intentions & Objectives
What are your primary reasons for attending this retreat?
What specific areas of your life are you seeking transformation?
What is the biggest challenge you are currently facing in your personal life?
What do you hope to achieve or experience during this retreat?
Are there any particular themes or aspects of the retreat that you are especially excited about?
Mindset & Preparedness
Are you open to exploring new techniques and experiences, such as deep meditative practices, breathwork, or cacao ceremony)?
How would you rate your ability to be open and vulnerable in group settings?
What kind of support would you expect from the facilitators and group during the retreat?
Logistics & Preferences
Do you have any dietary restrictions or preferences that we should be aware of?
Is there anything else you would like us to know about your personal journey or intentions for the retreat?
Do you have any concerns or questions about the retreat that you'd like addressed?
Reflection & Commitment
How committed are you to your personal well-being and transformation journey?
How do you plan to integrate the learnings and experiences from this retreat into your daily life after it concludes?
Is there anything from your past experiences that might impact your participation in group activities or healing practices?
Anything you would like to add for the 3 months integration period after the retreat part as part of the program?
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