Retreat intake form

Our intake form serves as a means to ensure that our retreat participants align with the values and atmosphere we aim to cultivate during our events. Through a series of thoughtfully crafted questions, we gather essential information about each participant's background, interests, and intentions for joining the retreat.

This helps us curate a diverse yet harmonious group of individuals who share a common desire for positive experiences, personal growth, and respectful interactions. By completing the intake form, participants not only provide us with valuable insights into their suitability for the retreat but also actively contribute to shaping the collective energy and dynamics of our retreat community.

We'll send you a link to purchase a ticket if we believe you'll be a good fit for our upcoming retreat.

First name

Last name

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Emergency Contact

Age

Occupation

Which are you interested in?

Rural Retreat

Urban Retreat

Previous Experience with Retreats or Wellness Practices

Any Health Conditions, Allergies, Sensitivities or Dietary Restrictions?

What do you hope to gain from attending this retreat? Are there any specific goals you would like to achieve during the retreat? How do you envision this retreat contributing to your overall well-being?

Are you familiar with sound bathing or mindfulness practices?Are you familiar with sound bathing or nature bathing practices?

Do you have any preferences or specific needs regarding accommodation arrangements?

Are you comfortable participating in group activities and workshops?

Yes

Maybe

How would you describe your current level of stress or emotional well-being? What practices or activities do you currently engage in to promote self-care and relaxation?

Do you currently or have you in the past experienced significant trauma or psychological challenges that may impact your ability to fully participate in and benefit from the retreat experience?

Yes

Prefer not to say

What values or principles guide your interactions with others and your approach to life in general?

How did you hear about this retreat?

Is there anything else you would like us to know before the retreat begins?

If you had to pick one song as your theme song for this retreat, which song would you choose?

Thanks for registering to our event. You may recieve a reponse via email!

SOUND
WELLNESS

Retreat Intake Form

You will be contacted via phone call to review your intake form, if we think you'd be a good fit for this unique experience.

Contact Us

SOUND WELLNESS

Retreat Intake Form

You will be contacted via phone call to review your intake form, if we think you'd be a good fit for this unique experience.

Contact Us

SOUND
WELLNESS