Wonderland Health Retreat 2026 Application
First, let's get the basics out of the way...
Your Name
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Email
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Format: (000) 000-0000.
Add my contact information to the Cherylmhealthmuse mailing list
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Yes. I agree to get regular email from Cheryl
No. I only want information about the Wonderland Health Retreat
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Your Life and Health
We'll begin by learning a few facts about you and about your overall health.
Date of birth
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Month
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Day
Year
Date
Occupation
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Job satisfaction?
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Very satisfied
Satisfied
Challenged
Unhappy
Looking for work
I am not employed
I am retired
Other
What would you prefer to be doing if this isn't it?
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Marital status?
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Married
Single
In a relationship
Divorced/separated
Widowed
Other
If single, what was the greatest hurdle in your last relationship?
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Are you religious? If so, what faith or belief?
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Are you spiritual? Do you believe in God or a higher power?
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Do you have any children? What age(s)?
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Health History
Do you eat ultra-processed foods?
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Yes
No
What percentage of your food is ultra-processed (i.e., the Western Diet)?
Almost 100%
Up to 75%
Up to 50%
Up to 25%
Less than 25%
Do you cook your own meals?
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Yes
No
If yes, how often?
Daily
A few times a week
Not often
Rarely
Other
Do you go to farmer's markets?
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Yes
No
Do you eat organic foods or mostly conventional produce?
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Organic
Conventional
What is your eating style?
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Conventional
Paleo
Pegan
Vegan
Vegetarian
If vegetarian, what type are you?
Movement
Do you exercise?
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Yes
No
If yes, how often per week?
5 times per week or more
2-4 times per week
Once a week or less
For how long?
3+ hours per week
1-2 hours per week
1/2 hour or less per week
What activity(ies) do you participate in regularly?
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Walking
Running
Yoga or home workout
Gym membership
Some type of sport
Other
Stress Management
What, if anything, do you do to manage stress? (Please note activity(ies) and duration.)
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Do you practice self-care? (Please note activity(ies) and duration.)
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Hydration
How much water do you drink daily?
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Not much
8-24 ounces
24-60 ounces
More than 60 ounces
Is it filtered?
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Yes
No
Do you drink alcohol?
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Yes
No
How often?
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Daily
1-2 times per week
3 or more times per week
Once or twice per month
Only on special occasions
I don't drink alcohol
Do you drink regular or diet soda?
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Yes
No
How often?
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Daily
1-2 times per week
3 or more times per week
Once or twice per month
Only on special occasions
I don't drink soda
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Hidden Signs You Are Not as Healthy As You Think
Did you struggle with any of these hidden signs of inflammation in the last 12 months? Select the hidden symptoms that you feel and rate their severity as best as you can from 1-10 (10 is most severe).
You hurt. You are taking more and more over-the-counter medications to “mask” the pain. You make sure you are never without them in your purse or pocket so that you can function.
Please Select
N/A
Yes
No
You just don’t feel well, and when you stop to think about it, you are not sure how long you have felt this way.
Please Select
N/A
Yes
No
You are more tired when you get up than when you went to bed, and you were tired then.
Please Select
N/A
Yes
No
You are struggling with what you think might be Chronic Fatigue.
Please Select
N/A
Yes
No
You have anxiety and have tons of stress. You worry all the time about something.
Please Select
N/A
Yes
No
You can’t lose weight. You have tried everything and nothing works. You just don’t seem to have any willpower to stick to eating healthy foods.
Please Select
N/A
Yes
No
Or, the opposite, you are losing weight despite the high-calorie diet you are eating.
Please Select
N/A
Yes
No
You are bloated and puffy. Even your fingers are stiff.
Please Select
N/A
Yes
No
You have GERD or other digestive problems.
Please Select
N/A
Yes
No
You have gas.
Please Select
N/A
Yes
No
You are often constipated. (This is a sure sign of inflammation.)
Please Select
N/A
Yes
No
You are going back and forth between constipation and diarrhea, and you don’t know what is causing it (and sometimes it’s embarrassing you).
Please Select
N/A
Yes
No
You are always hungry, and you crave sugar. Even after eating a large meal, you want more ("The big hunger"). You want something sweet, and then you open up a package, eat the whole thing and then you feel yucky.
Please Select
N/A
Yes
No
You are getting frequent headaches.
Please Select
N/A
Yes
No
Your knees are bothering you.
Please Select
N/A
Yes
No
In fact, you always have pain (knee pain, headaches, back pain) -- something in your body is screaming at you and you are NOT listening; you are trying to ignore it. Or you told your doctor and they've prescribed pills, lots of pills. And they're talking surgery if the pills don’t work.
Please Select
N/A
Yes
No
You are getting arthritis.
Please Select
N/A
Yes
No
It seems impossible to get a good night’s sleep.
Please Select
N/A
Yes
No
You snore. Or you just found out you have sleep apnea.
Please Select
N/A
Yes
No
You have skin problems (eczema, psoriasis or acne), or you are getting random skin rashes.
Please Select
N/A
Yes
No
Your skin is starting to look old.
Please Select
N/A
Yes
No
You have terrible hay fever or allergies.
Please Select
N/A
Yes
No
You have irregular periods.
Please Select
N/A
Yes
No
You have a lot of body odor. In fact, your deodorant doesn’t work very well, and you keep changing brands.
Please Select
N/A
Yes
No
You have bad breath.
Please Select
N/A
Yes
No
You are getting lots of muscle cramps.
Please Select
N/A
Yes
No
Fragrances and chemicals are beginning to affect your breathing.
Please Select
N/A
Yes
No
You are figuring out you might have food sensitivities.
Please Select
N/A
Yes
No
What foods are you sensitive to?
You are losing your hair.
Please Select
N/A
Yes
No
You are becoming forgetful, or the answer to what you want to remember isn’t easily coming into the window of the "8 ball" of your mind.
Please Select
N/A
Yes
No
You have high blood sugar, high cholesterol and high triglycerides.
Please Select
N/A
Yes
No
You have diabetes or hypoglycemia.
Please Select
N/A
Yes
No
Which one?
Please Select
Diabetes
Hypoglycemia
You are dealing with mood swings or with depression.
Please Select
N/A
Yes
No
Do you believe it is possible to return to wellness? (Please explain your thoughts and goals.)
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Are you willing to make lifestyle changes?
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Yes
No
Do you believe you have the power to create your dream life?
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Yes
No
What are you willing to do to make that happen?
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Sleep
How well do you sleep most nights?
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Very well (7+ hours)
Good (7-8 hours)
Not so good (5-6 hours)
Terrible (Less than 5 hours)
Other
If you sleep sporadically, what is your norm?
Wake up 1-3 times per night
Wake up 4+ times per night
I wake up in the middle of the night and then I...
Go right back to sleep
Toss and turn the rest of the night
What have you tried to do to get a better night's sleep?
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Sensitivities/Histamine Reactions
Do you have any allergies?
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Yes
No
If yes, please list type of allergy and reaction.
Do you have any food sensitivities?
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Yes
No
If yes, please list type of food sensitivity and reaction.
Are there any foods you cannot eat? Is it an allergy or a food sensitivity?
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Are you gluten-sensitive?
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Yes
No
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Chronic Illness
Do you feel lousy?
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Yes
No
If yes, how much of the time (in general)?
75% or more
50%
25%
Just once in a while
What is it that you feel lousy about?
Has your doctor explained why that is? What is their treatment?
Are you missing work?
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Yes
No
Are you canceling social engagements?
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Yes
No
Do you or have you had any chronic illness(es)? If yes, please list.
When did the symptoms begin? Please list for each illness above.
What treatment(s) have you received? Please list for each illness above.
Do you have an auto-immune disease? If yes, has it been diagnosed?
Do you suspect you have an auto-immune disease? If yes, which one(s)?
Did you make any lifestyle changes after the diagnosis?
What did your doctor suggest as treatment?
Have you ever been diagnosed with cancer? If yes, which type(s)?
What treatments have you undergone or been recommended? Please list for each, if applicable.
What is the prognosis today?
Are you currently in remission?
Yes
No
Did you make any lifestyle changes after the diagnosis? Please list for each, if applicable.
What other chronic ailments do you have?
Have you suffered with depression? If yes, how often and for how long?
Have you ever or do you currently take medication(s) for mood swings?
Have you ever been muscle tested?
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Yes
No
Do you have any disabilities that would interfere with muscle testing?
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Yes
No
What are your top three goals that have been elusive to you?
What is missing from your life that would make your life more fulfilling?
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About the Wonderland Retreat
Have you ever been to Sedona?
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Yes
No
What was the purpose of your trip? What did you do in Sedona?
How long would you plan to stay in the area, realizing the retreat runs late Wednesday through Saturday night, with a possible add-on of Sunday?
What time of year would you prefer to come?
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Click here to learn more about the best times to visit the Sedona area
Please select your interest in the various available activities:
Video Library:
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Cultivating Happiness
It's Not Complicated: How to Eat (Healing with Food: Nutritional Strategies for Optimal Health)
The Importance of the Lymph System: Its Role and How to Improve "The Flow"
Depression: When to seek help; what to eat; holistic strategies to support your mood; why antidepressants don't work; how to support your body to change your mood to happiness and joy
Toxins: How to be a toxin detective and purge the toxins from your environment; where are they; what to replace them with
Heart Math: What it is, and how to utilize it to create the impossible; how to use it to enhance your life
Chakra Class and Clearing: Correlating the colors of food to the energy centers of the body; what each color depicts
What you can learn by having two aura readings, one upon arrival and one upon departure
Other Practitioner Presentations and Activities
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Pool yoga
Tao energy work and stress relief
How to successfully manifest: How nothing is impossible unless you think it is
A PSYCH-K®session one-on-one with John or Cheryl at the Wonderland retreat focused on facilitating self-love and self-acceptance as a transformative experience for participants. This method, which blends psychology and kinesiology, helps reprogram subconscious beliefs that may be limiting one's self-worth
Other Available Activities:
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Movie night: Love Heals and guided discussion
Multiple written exercises to achieve deep self-love
Healthy breakfasts and lunches, a mocktail party with "lite" bites upon arrival, and a tea party at the close. Receive a free digital cookbook with highlighted recipes from Cheryl's "From my Rainbow" posts with special tips to maximize nutrition
Poolside relaxation
One-hour class: How to Eat: It's Not Complicated
Find a quiet spot to enjoy the scenic views (read, relax, breathe)
Morning meditation
Afternoon tapping and Tao exercise
PEMF healing mat session
Class on clearing your chakras for protection or for relaxation
Beginning class on Heart Math, its use and advantages
Alice in Wonderland games and mind exercises; finding your perfect Alice in Wonderland quote, and how to utilize it to manifest your ideal future
Closing celebration and dance party
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Creating the Future You Seek
What have you wanted to manifest in your life, but found impossible to create?
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What have you done previously?
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What is your WHY?
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How big is your WHY?
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Are you willing to lay the bricks to make any (or all) of the following possible?
Health
Relationships
Career goals
Other
Please elaborate in terms of Health: If you could magically wake up with one wellness superpower tomorrow what, would it be? (Better sleep/less pain/regular exercise/limitless energy/better eating/something else?)
Please elaborate in terms of Relationships:
Please elaborate in terms of Career Goals:
What would you like to get out of the Wonderland Retreat with John and Cheryl in the Sedona area?
Deep down, do you believe you love yourself?
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Yes
No
What do you define as self-care?
What kind of self-care do you practice, and how often?
Do you get in the way of your own success? How?
How much fear do you deal with on a daily basis? Does it stop you from achieving your goals?
Is your fear connected to finding love, finding success, finding abundance, or all of the above? Does fear hold you back from other things?
Do you feel lucky?
Yes
No
Do you practice gratitude? How often?
How easily do you manifest your hopes and dreams?
Is there anything else you would like to learn while you are here?
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You're DONE!
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