Name

First Name

Last Name

Section 1: Overall Experience

1. How would you describe your overall experience at the retreat?

2. What was the most meaningful part of the retreat for you?

3. What, if anything, felt missing or incomplete?

4. On a scale of 1 to 10, how likely are you to recommend this retreat to a friend or loved one?

5. What would have made the retreat even more supportive or impactful for you?

Section 2: Program & Facilitation

6. How did the retreat flow for you in terms of pacing and structure?

7. How was your experience with the facilitators, Kiera and Holly?

8. Were there any ceremonies, meditations, or teachings that especially resonated with you?

9. Were there any practices or moments you found challenging or confusing?

Section 3: Integration

10. What are you taking home with you from this retreat — a feeling, a practice, a realization?

11. What kind of support or resources would help you continue this journey after the retreat? (Check all that apply)

Ongoing online circles

A follow-up 1:1 session

WhatsApp or Signal group