Harvesting Healing Retreat for Women

Thank you for your interest in the Harvesting Healing Retreat. This retreat is open to women aged 18 and over. Please take your time filling out this form. There are no right or wrong answers. Your words will be received with love and confidentiality.

Name

First Name

Last Name

Email

Phone

(###)

###

####

Location (City/Country):

What draws you to this retreat at this time in your life?

You’re welcome to share as little or as much as you feel comfortable.

Have you ever attended a healing, spiritual, or personal growth retreat before?

Yes

No

If yes, feel free to share a little about your experience (if you wish):

What do you hope to receive or experience during this retreat?

e.g. rest, connection, understanding, courage, healing, spiritual grounding

Anything else you’d like to share with us?