JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Retreat Interest Form
I am so excited that you are interested in attending a retreat with me!! Please share some info below so I can create the ultimate experience and offer for you.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Instagram Handle @
Your answer
What type of retreat are you interested in attending? (check all that apply)
*
New Years Eve Retreat
Empowerment Retreat
Adventure Retreat
Mindfulness and Meditation Retreat
Manifesting Retreat
Yoga Retreat
Other:
Required
What type of activities are you interested in? (check all that apply)
*
Meditation
Yoga
Cooking Demos
Mindset Workshops
Hiking, nature, exploring
Learning more about crystals
Cacao Ceremony
Sound Healings
Essential Oil DIY Workshops
Manifesting workshops
Chakra Balancing
Vision boards
Skiing, snowboarding, winter tubing, sledding; winter sports
Mountain biking, white water rafting, horseback riding; summer outdoor activities
Other:
Required
How many days would you like to attend? (check all that apply)
*
2 day weekend (Saturday & Sunday)
3 day weekend (Fri, Sat, Sun)
4 day (Thurs, Fri, Sat, Sun)
5 days
6 days
7 days
Other:
Required
What time of year / what months are you interested in attending a retreat? (check all that apply)
*
New Years Eve (Dec 29-Jan2)
December 2021
January 2022
February 2022
March 2022
April 2022
May 2022
June 2022
July 2022
August 2022
September 2022
October 2022
November 2022
December 2022
Other:
Required
What price range are you willing to invest for a retreat? (check all that apply)
*
$300-$500
$500-800
$800-$1000
$1000-$1500
$1500-$2000
$2000-$3000
$3000-$4000
$4000-$5000
ANY, I'm ready for this!
Other:
Required
Do you have a group of friends or family that would be interested in a customized group retreat?
Yes please!
Maybe
Not at this time
Clear selection
Anything else you'd like to share about your interest in attending a retreat?
Your answer
Thank you for taking the time to complete this form! I am so excited to offer more retreats!!!
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
