Retreat Questionaire | Volcano Eco Retreat

First name

Last name

Email

Phone

Which Retreat are you interested in?

Why are you interested in this retreat?

How did you hear about us?

How long of a Retreat are you interested in?

Specify duration

Will you cut/shave your hair?

Clothing Restrictions

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

Related Guests

Physical Excercise Preference

I prefer excercises daily

Light excercise is OK

No Excercise please

Other

Structure (Schedule)

I prefer a strict schedule

I am OK with some structure

I prefer a spontaneous, loose structure

Other

Dharma Talks

I prefer interactive discussions (talking)

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

I prefer silence

Other

Meditation

I would like to meditate a lot

I don't mind meditating occasionally

I do not meditate

Other

I am interested in (multiple)

Free Time preference

Please list those teachers, spiritual or intellectual publications that influenced you.

Silence Preference

I would like regular interactive personal discussions

I prefer mostly silence, with daily Dharma Talks

I would prefer total silence

Other

Staying Home vs Going Out

Smartphone Use