Forgiveness Retreat Intake Form
Please submit this form no later than September 10, 2016
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Name *
What do you hope to achieve by attending this retreat?
What are your fears and concerns regarding the retreat?
Thinking about the relationship in which you want to forgive, what is your current level of pain, suffering and/or struggle?
least
most
Clear selection
How motivated/willing are you to forgive?  
least
most
Clear selection
If you were able to forgive, what would be possible in the future?  How would it improve your life?   How would it feel?
What might hold you back? What challenges do you anticipate?
What personal strengths will you draw upon to overcome those challenges?  
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