Retreat Induction Form

Please answer all the following questions as best possible. They will help me understand what your expectations are about the retreat, and also clarify what you intend to get out of it. Your entries on this form are strictly confidential.

Please could you complete the form at least 48 hours prior to the retreat. Thank you!
  • DD slash MM slash YYYY
  • Just one word please!
  • This could relate to your work, personal life, family, skills etc
  • Please try to be as specific as possible
  • Please describe briefly your short/ medium/ or long terms challenges
  • Please be as specific as possible
  • Pick a number from 1 to 10, with 1 being completely unsatisfied
    to 10 being completely satisfied.
  • Please be as detailed, and specific as possible - thinking about this upfront allows for a stronger, more productive interaction during the retreat.
  • Please note down any questions, or points you'd like to talk about in our retreat
    (or any general comments). Please also indicate if you would prefer to ask these questions privately.

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