Loom & Bloom Interest & Alignment Survey🌸
We’re so honored you’re feeling called to this sacred retreat. This space is designed for women ready to come home to themselves— through healing, empowerment, and deep embodied presence. Please take a few moments to share from the heart. Your answers will help us make sure this retreat is aligned for you.
Full Name
*
First Name
Last Name
How did you hear about us?
*
Please Select
Instagram
Facebook
Flyer
Referral
Other
Please Specify
*
Phone Number
*
Format: (000) 000-0000.
Date of Birth
*
 -
Month
 -
Day
Year
Date
E-mail
*
example@example.com
Instagram Handle (Optional)
What drew you to this retreat? Why are you feeling called to join?
*
What are you currently moving through in your life that you’d like support with?
*
What does “embodiment” mean to you? How connected do you currently feel to your body?
*
Have you attended a women’s retreat before?
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Yes
No
Which aspects of this retreat are you most excited about? (Check all that apply)
*
Women’s circles and sisterhood connection
Mindfulness & mental health workshops
Movement practices
Nature connection
Self Love & empowerment sessions
Time to rest & recharge
Sacred rituals & ceremonies
Tapping into your creativity
Breathwork
Spiritual Attunement
Do you have any physical limitations, accessibility needs or important health/mental considerations we should be aware of?
Is there anything else you’d like us to know about you or your intentions for the retreat?
Submit
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