The Retreat Room - Private Booking
Event Time: Thursday 11th Nov, 1pm
Event Address: 137 Railway Street - Gatton
Contact Sarah: 0450 909 464

Sign in to Google to save your progress. Learn more
Email *
Name *
Phone *
How many people would you like to book the retreat for?
Clear selection
What day would best suit you? (if not already discussed)
Please select your intention for the Private Retreat
Clear selection
What would you like to get out of this time for yourself?  What is your intention for the retreat? The more details you can give here, the more tailored the retreat can be for your specific needs.
Why is this intention important to you?
In what area of the body do you feel the most discomfort?
Clear selection
Please answer the following *
Yes
Sometimes
Never
Do you feel safe and supported?
Do you feel grounded and balanced?
Do you feel inspired and passionate?
Do you often feel doubt or hesitation?
Do you treat yourself with love and kindness?
Do you express yourself freely?
Do you have strong intuitive skills?
Do you have an intimate relationship with Source?
Do you feel connected to the love and beauty of the cosmos?
Please select which services your are most draw to experiencing. *
Required
Do you have any injuries or illnesses that I need to know about?
Thank you so much for taking the time to fill in these questions. If you would like to share anything else with me, or have any further questions, please list them below and I will be in touch very soon. I look forward to creating this sacred time for you. Namaste, Sarah.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms