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Respite Questionaire

Thank you for registering to attend the Healing Respite Retreat, we are excited that you have chosen to make yourself a priority.  It is our hope that you are able to receive what you need during your stay. 


In assisting you with intentional healing  and to provide you with the best experience, we ask that you read and answer the questions provided below.


Please Note: The facilitator will be the only person with access to your answers.  Please answer as honestly as you can.

Please mark the additional services of interest.

Thank you for taking the time to provide  the information needed to help maximize your experience.

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