Retreat Questionaire | Volcano Eco Retreat

First name

Last name

Email

Phone

Which Retreat are you interested in?

How did you hear about us?

How long of a Retreat are you interested in?

Specify duration (if couldn't find it in the previous field)

What would you like us to provide? (Multi choice)

Why are you interested in this retreat? What would you like to gain / change / reinforce / by participating?

Will you cut/shave your hair?

Clothing Preferences

What are your dietary prefereces? (Is everything Ok, Vegetarian, No gluten, Fasting, Diabetic, etc.)

Groups and Couples

Physical Excercise Preference

I prefer excercises daily

Light excercise is OK

No Excercise please

Other

Silence Preference

I would like regular interactive personal discussions

I prefer mostly silence, with daily Dharma Talks / Satsangs

I would prefer total silence

Other

Dharma Talks

I prefer interactive discussions (talking)

I prefer mostly listening to Dharma Talks (questions on piece of paper)

I prefer silence

Other

Structure (Schedule)

I prefer a strict schedule

I am OK with some structure

I prefer a spontaneous, loose structure

Other

Multi Media Preference (please mark all that apply)

I prefer total silence, No Video / Audio / Music of any kind.

Quiet, Ambient Background Music is OK

Audio Publications (teahings)

Video Publications (films, presentations)

Scheduled Group Dharma Talks

Scheduled Private Dharma Talks

Satsangs (group talks)

Group Interactions

Meditation

I would like to meditate a lot

I don't mind meditating occasionally

I do not meditate

Other

Please mark each activity that you are interested in

Smartphone Use

Free Time preference

Please list those teachers, spiritual or intellectual publications that influenced you. Are there any methods, practices that you find useful or interested in exploring?

Staying Home vs Going Out

Prices are per person & there is a minimum of 2 people required per retreat for the program to take place. If you are interested as single, message us. We might be able to find you a group. Every participant has to register separately.

Demo / Inquiry / TestUSD0

1 Day (approx. 6-8 hrs, transportation & toys)USD179

2 Days (1 night, lodging, programs, transportation, no meals)USD449

3 Days (2 nights, lodging, programs, transportation, no meals)USD749

4 Days (3 nights,lodging, programs, transportation, no meals)USD1049

5 Days (4 nights, lodging, programs, transportation, no meals)USD1349

Any comments, wishes, scoldings, or good tips on anything? (thank you)