Inquire About A Retreat Your Name Your Email A retreat is a place where: (pick the one that best describes your idea of retreat) a) I can escape from the worldb) I can relax and recoverc) I can connect deeply with my own beingd) I can learn new ways of beinge) I can make big changes that I couldn’t anywhere elsef) other (please explain) Please tell me what brings you here. Have you been on retreat before? YesNo Do you have any experience with meditation practice? YesNo What is your primary health concern? What are you willing to do to change your health circumstances in the next year? What kind of guidance/support are you seeking? What are three things you would like to do/be before you die? How soon are you interested in going on a retreat? a) in the next 3 monthsb) in the next 6 monthsc) in the next year Anything else I should know? After I receive your application, I’ll be in touch so we can decide together if this is a good fit for both of us.