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Sign In
My Account
Therapy
Mindfulness Group
Retreats
About
Contact
Wilderness Retreat Application
Basic Information
Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
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Hopes and Fears
What do you hope to get out of coming on a Mindful Wonder Wilderness Retreat?
Being on retreat is a mix of alone time and time being with the group. Please describe your comfort level with both being alone and being in a group.
What are most excited to connect with other people in the group about?
What do you imagine it will be like to disconnect from your phone and email for 3 days? *
*
Experience
The following questions are to help me know you better. You do not have to be "outdoorsy" or a "mediator" to come on retreat. This is to help me know who is coming to the group and how to best support you during our time together.
What is your comfort level outdoors?
Im comfortable on multi-day backpacking trips
Im comfortable camping
Camping makes me nervous but I love the outdoors
Just being in nature is out of my comfort zone
What is your meditation practice like?
I'm new to the whole meditation thing
I've attempted to meditate, off & on
I have a somewhat regularly practice
I have years of a dedicated practice
What qualities about yourself are you most excited to bring and share with the group?
Is there anything else you would like me to know about you?
Thank you!