Retreat Application
Application for Retreat Admission
What is your first and last name?
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Best number to reach you:
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Which retreat/getaway are you interested in? *
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How would this trip help you in your life right now? *
Your answer
How did you find freethefeminine.com
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Where are you from?
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Who were you raised with (or by?)
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What does your family consist of now?
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What do people come to you for help with?
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What do you believe your purpose is? *
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What are some of the challenges you're experiencing right now? *
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What are your accomplishments? *
Your answer
Who's your biggest supporter?
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What's taking place right now in your life?
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What kind of self improvement work or retreats have you done so far?
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What kind of life do you dream of having? Be as specific as possible.
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What do you need right now to grow/evolve? *
Your answer
How would this retreat help you?
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Have you been diagnosed or treated for any mental health challenges?
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What medications are you presently using?
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Anything else you would like us to know?
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