Eyes of Power | Retreat Questionnaire

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Name *

Email *

Phone *

Please select the type of retreat you are interested in

Please check all that apply for a personal or organizational development retreat

Gain back control of your life
Conquer your emotions
Minimize the issues in your personal and/or professional relationship
Executive (Managers, Directors,Attorney, Business), incuding small groups and organizations

Please check the post-trauma-care retreat of interest

Please share any allergies or dietary restrictions you’d like us to know about. Your answer

Please share any medical limitations you'd like us to know about.

Please share any mental health conditions or medications you'd like us to know about