The following questionnaire is designed to help us understand your needs better and tailor the retreat experience to suit you.

However, please note that filling out this questionnaire is not mandatory to attend the retreat. If you prefer to skip the questionnaire, please feel free to do so and just let us know your desire to attend the retreat.

    Name

    Email


    WhatsApp (Optional):

    Age Bracket

    Relationship Status

    Main Goals for the Retreat:

    Availability

    When would you be available to attend the retreat if a spot becomes available?

    Preferred Year:

    Preferred Month:

    Preferred Duration:

    Hotel Budget Preference:

    Dietary Restrictions or Preferences:

    Leisure Activities Interest:

    Please indicate your interest level (1-5, with 1 being not interested and 5 being highly interested) in the following activities:

    Surfing:

    Diving:

    Hiking:

    Wildlife Watching:

    Free Time Exploring:

    Canopy:

    Water Rafting:

    Fishing:

    Yoga and meditation:

    Other (please specify):

    Type of Retreat Preference:

    Your Psychological Concerns:

    How would you describe your psychological concerns?

    Psychological Therapy and Retreat Experiences:


    Have you been or are you currently in psychological therapy?


    Have you previously attended a psychological or wellbeing retreat?

    Additional Comments or Questions:

    Your comfort and wellbeing are very important to us. If you have any concerns or preferences, please feel free to let us know. We are here to support you.

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