Retreat Participant Questionnaire

Please take the time to complete all the questions and return them to us as soon as possible. The answers to these questions will help us to support and guide you while you are with us on your retreat. If you have any questions, please contact our office on [email protected]



Do you have any children?*


Yes
Yes
Yes
Yes
Yes

If someone is accompanying you during the program, please complete all the questions that refer to a support person. If you are attending alone, you may skip these questions.



Please enter the contact details of next of kin (who is NOT attending the program with you):



Important to Note

The information that we collect with this form is used ONLY for the sole purpose of providing to you the best possible experience at the retreat you have registered to attend. The information is held securely and is not shared externally with ANY third parties. After the retreat all personal information collected by this form is deleted by us.