Apply for the Retreat — Free to Be SHE™

Section 1 of 6

About you

Full name

Email

Age range

Occupation / current life role

Where are you travelling from?

Have you attended a transformational retreat before?

Yes No

If yes, please share details (optional)

Section 2 of 6

Group experience & self-awareness

In group environments, I usually:

Enjoy connecting with others easily Observe quietly before opening up Prefer deeper one-to-one conversations Need occasional alone time to recharge Sometimes feel misunderstood in groups Often feel frustrated by other people

When difficult emotions arise, I typically:

Reflect and process internally Seek healthy support from trusted people Use grounding or self-care tools Need quiet space before talking Become emotionally overwhelmed Struggle to regulate my reactions

My main intention for attending this retreat is:

Rest and reconnection Personal growth and self-reflection Emotional healing and nervous system restoration Spiritual connection and inner clarity Time away to reset and recharge To reconnect with myself more deeply For someone to help me fix my life I'm not fully sure yet

Section 3 of 6

Emotional readiness & support

Which best describes your current season of life?

Feeling relatively grounded and stable Moving through change or transition Recovering from stress or burnout Navigating grief or emotional loss Feeling emotionally overwhelmed at times Currently in significant emotional crisis

Over the past 12 months, have you experienced any major life events or transitions? (select the closest fit)

Relationship changes or breakup Bereavement or grief Burnout or work-related stress Health challenges Family or caregiving pressures Significant personal transformation None of the above Prefer not to say

When feeling emotionally stretched, I usually:

Use healthy coping tools or grounding practices Reach out to trusted support people Need quiet time to reset Become anxious or emotionally flooded Withdraw completely from others Struggle to manage emotional responses

Section 4 of 6

Retreat expectations

What are your main expectations of this retreat experience?

Rest and nervous system restoration Personal reflection and growth Meaningful connection and community Emotional healing and self-awareness Spiritual reconnection Clarity, direction and reset Constant emotional support throughout the retreat To have my problems solved for me

Which best describes your approach to group experiences?

I value mutual respect and shared space I understand everyone processes differently I enjoy listening as well as sharing I respect personal boundaries and quiet time I sometimes struggle when others behave differently to me I often feel disappointed by group dynamics

Section 5 of 6

Personal reflection

Take your time with these — there are no right answers.

What called you toward this retreat at this point in your life?

What are you hoping to reconnect with, experience, or receive during the retreat?

What helps you feel emotionally safe and supported in group environments?

What behaviours or environments tend to feel difficult or draining for you?

What does personal growth or healing currently mean to you?

Is there anything else you'd like us to know that may help support your retreat experience?

Section 6 of 6

Consent & agreements