Loom & Bloom Interest & Alignment Survey🌸

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 NameLast Name
How did you hear about us?*
Please Specify*
Phone Number*
Date of Birth*

MonthDayYear
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?*

YesNo
Which aspects of this retreat are you most excited about? (Check all that apply)*

Women’s circles and sisterhood connectionMindfulness & mental health workshopsMovement practicesNature connectionSelf Love & empowerment sessionsTime to rest & rechargeSacred rituals & ceremoniesTapping into your creativityBreathworkSpiritual 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?
Should be Empty: