
Retreat Intake Questionnaire
All of your information is legally protected and confidential with us. We ask for your transparency and integrity as you answer all medical questions, as your own health and experience depend on your honesty. Please respond to the personal questions at your own comfort level. Healing ourselves and each other requires vulnerability from everyone and we see it as a superpower! Because we are a small group, it’s also important that all who are here have aligned intentions with one another and there is safety amongst your peers.