URBAN MONK
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Country Living
GA Retreat Center
Silent Retreat
Relationship Bliss Retreat
COACHING
home
Silent Retreat in a Box
Onesies for Oneness
Awhereness
Sign In
My Account
Country Living
GA Retreat Center
Silent Retreat
Relationship Bliss Retreat
COACHING
home
Silent Retreat in a Box
Onesies for Oneness
Awhereness
URBAN MONK
• A MOMENT OF STYLENCE •
Hello, love! Thank you for taking approx. 5 minutes to fill out this survey for us to get to know you, so that we can accommodate you better!
Name
*
First Name
Last Name
Email
*
Phone
(###)
###
####
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Pronouns
Gender
*
Sexual Orientation
How did you hear about us?
Why do you want to participate in ‘I AM’ Silent Retreat?
Have you practiced meditation or yoga?
*
What would you like MORE of in your life?
What is your favorite way to FEEL?
What do you want to transform?*
*
What are your self care practices?*
What are you most looking forward to or hoping for, on the retreat?
*
Have you been in structured silent practice before?
*
Do you take any medications or supplements?
*
Do you have any allergies to food or medications?
Do you need any accommodations to be able to participate?
Anything else that you would like to tell us?
How many years on earth?
aka. Age
Phone
(###)
###
####
Who do you live with?
*
Just for context. Anything you'd like to share about family or community.
Thank you! Silence is so much more than it sounds like. :) Looking forward to being in it together.
silence is more than it sounds like.
