Private Group Retreat Interest Form
More Info Here: https://therapistsretreats.com/private-group-retreats/
Details:
Full Name
*
First Name
Last Name
Company/Organization Name and Website
Your Job Title/Role
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
How did you hear about us?
*
Please Select
Newspaper
Internet
Magazine
Other
Please Specify
*
What prompted your interest in a private retreat?
What are the primary goals for your team? Examples: continuing education, team bonding, emotional wellness, conflict resolution, stress reduction, leadership development, etc.
Any specific challenges your team is currently facing?
Estimated number of participants? Demographics of team: roles, leadership level, mixed departments, etc.
1. Preferred date(s) and Ideal retreat length(Half-day / Full-day / 2–3 days/5-7 nights? All Inclusive?
Location: Within the United States? Or International? Do you have a particular destination in mind? Note: We are able to create and provide retreats anywhere in the world.
Estimated budget range per person?
“Is there anything else you’d like me to know to design the ideal retreat for your team?”
Signature
Date
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Month
-
Day
Year
Date
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