The Sabbath Retreat
This questionnaire is designed to gather info from you (men) who are in need of soul care and who are interested in attending The Sabbath Retreat. The retreat aims to provide a safe and authentic space for high-level influencers, thought leaders, and business executives of color to open up, heal, and find common sense solutions to their challenges. 
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Email *
What is your First Name? *
What is your Last Name? *
Phone Number *
Where are you from?
Where do you live currently (city and state)?
When were you born? (i.e. September 1, 1980)
MM
/
DD
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How would you rate your current mental health? (scale of 1-10)
Suicide Watch
My Best Life
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How would you rate your current physical health? (scale of 1-10)
Very Sick
My Optimal Self
Clear selection
How would you rate your current spiritual health? (scale of 1-10)
Non-Existent
Optimal
Clear selection
What is your relationship status?
What is your employment status? 
What is your budget for the retreat? 
Have you ever attended a mental health retreat before? If so, please describe your experience.
Why do you feel you need soul care at this time? What's going on?
How do you hope to benefit from attending this retreat?
What specific challenges are you currently facing in your life that you believe this retreat can help you with?
Have you experienced any traumatic events or significant losses in your life that you feel may be impacting your emotional or spiritual health? If so, please explain.
How has your race and/or ethnicity impacted your experiences with stress and trauma?
Are you currently seeing a therapist or mental health professional for any emotional or mental health concerns? If so, how has it been helpful for you?
How do you practice self-care in your everyday life, and what practices do you find most effective in reducing stress and promoting overall well-being?
Is there anything else you would like us to know about you or your needs?
How'd you hear about us?
Let's talk for a few. Call me *
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