Are you ready to rise strong?

Are you ready to rise strong?

Please complete this short survey if you'd like to apply to attend the upcoming retreat, Rising Strong!
Retreat dates in Riviera Maya, Mexico: Feb 21-25, 2024

Hosted by Wellness Recovery Retreats
Name

First NameLast Name
Email
example@example.com
Who was the toxic or narcissistic person in your life?

Former romantic partnerFamily memberClose friendOther
Are you still in connection with that person?

No, I've gone "no contact"Minimal contact due to legal or financial necessityIn relationship with them
Can you confidently define a trauma bond?

Yes, I think soMaybe, I'm not sureNo, I can't
Based on what you know, do you think you're still trauma bonded?

Yes, I'm sure I amMaybeNo, I don't think so
Have you had other relationships with toxic people?

YesNoMaybe
Which one of these statements describes cognitive dissonance?

It is the confusion we feel about the toxic person.It describes a mental fog or confusion.We struggle to know what's true.It's a mental condition that possibly leads to forgetfulness, disorganization, jumpiness, and irritableness.All of the above
Which symptoms do you currently struggle with? (please check all that apply)

Insomnia or trouble sleepingFood or appetite issuesFrequent nightmaresDebilitating anxiety or fearsExcessive thinking about the toxic relationshipFeelings of flatness, deadness, or emptinessFeeling blue or melocholicHaving enough energy to take care of day-to-day choresDoing new thingsDating againNone of the above
Have you ever been diagnosed with a mental condition or disorder? If so, please provide a few details.
What have you done to help with your healing? (please check all that apply)

Watch videos, TikToks, or Reels, or listen to podcasts on the subjectRead books on the topicCompleted online course(s) on the topicSought counseling or coachingTaken medication to help with symptomsSought out EMDRSought out other forms of therapiesWas hospitalized inpatient or partial outpatient
Which resources have helped you the most in your healing journey? (please check all that apply)

Watching and listening to online expertsCoaching or counselingJoining an online support group or communitySeeking religious or holistic helpGroup coaching or counselingOnline course(s)Other
Have you ever traveled internationally?

YesNo
What do you hope to get out of the retreat experience?
Why do you think you're ready for this experience?
If you are invited to apply, are you prepared to make an initial deposit?

Yes, I amNo, not right now
Which creators do you currently follow? (check all that applies)

Lisa (Stronger than Before)Ro (Rollercoaster of Love)Kerry (Kerry McAvoy, Ph.D.)
Thank you for this information. Please watch your inbox to schedule a short discovery interview with one of us!

Lisa, Kerry, & Ro

Stronger than Before

Kerry McAvoy, Ph.D.

Rollercoaster of Love
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