Wild at Heart Travel + Retreats
Personal Retreat / Wellness Travel Questionnaire
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Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What kind of experiences do you want included? (Choose all that apply)
*
Yoga
Pilates / Fitness
Spa / Relaxation
Nature / Forest bathing
Outdoor activities (ie. Biking, hiking, kayaking, etc)
Adventure & Exploration
Digital detox
Clean eating / Fasting
Healing / Energy work
Other: (Short answer below)
Comments
Have you done a wellness-focused trip before? (Yes/No)
*
Yes
No
If yes, what did you love about it?
Are you planning to travel…
*
Solo
With a friend or partner
With a group
Not sure yet
Preferred travel dates or time frame:
Ideal trip length?
*
Weekend / short getaway (2–3 nights)
4–5 nights
6-7 nights
7+ nights
What types of destinations speak to you?
*
Beach / Coastal
Mountains / Forest
Desert / Southwest
Dude Ranch
National Park(s)
I’m open!
Approximate budget per person? (Not including airfare/transportation)
*
Under $2,000
$2,000–$3,500
$3,500–$5,000
$5,000+
Do you prefer:
*
A group retreat with others
A private, custom-designed experience
I’m open to either
Personal Wellness Needs:
Any dietary needs or restrictions?
Any physical limitations or medical needs to consider?
What would make this trip feel transformational for you?
Explain here
Where are you in your planning journey?
*
Ready to book
Just exploring
Submit
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