Retreat Questions

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Name

First

Last

Describe your yoga practice background - asana or otherwise. How long have you been practicing, in what styles/schools, and what sparked your practice? What other trainings or certifications have you completed? Do you have a home yoga practice?

Have you attended any of our programs from Yoga Girl/Rachel Brathen, Island Yoga, or oneOeight? If so, which ones?

Do you have any current injuries, areas of pain, or physical conditions you’d like to share with us?

Do you have any medical conditions or experience any intolerances, allergies, or strict regimens to foods? If so, please list all.

Have you experienced any significant emotional challenges or trauma that you feel would be helpful for us to know about in supporting your retreat experience?

How are you feeling overall in your body, mind, and heart right now?

Have you practiced meditation before? If so, please share your experience level and preferred practices.

If you feel comfortable, is there anything about your mental health that you’d like to share with us?

What inspired you to join this retreat?

On a scale of 1 to 10, how would you currently rate your stress level? (1 being minimal stress and 10 being extremely high stress)

On a scale of 1 to 10 how would you rate your current quality of sleep? (1 being very poor quality and 10 being excellent quality)

On a scale of 1-10, how would you rate your overall health? (1 bring very poor and 10 being in perfect health)

On a scale of 1 to 10, how would you rate your energy levels throughout the day? (1 being very low energy and 10 being consistently balanced and vibrant)

On a scale of 1 to 10, how would you rate your sense of joy? (1 being deeply unhappy and 10 being fully joyful and content)

On a scale of 1 to 10, how would you rate your connection to nature? (1 being completely disconnected and 10 being deeply in tune and aligned with the natural world)

What are you hoping this retreat will bring into your life? How do you envision this experience impacting you moving forward?

If there is anything more you would like to share that pertains to this retreat, please do so here.

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Upload a proof of travel insurance

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WAIVER FOR ONLINE CLASSES, RETREATS, WORKSHOPS AND PROGRAMS

I hereby represent and warrant that I am in good physical health and do not suffer from any medical conditions which would limit my participation in the classes offered by Rachel Brathen AB.

I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any of the yoga classes, retreats, programs, workshops and any other activities.

I hereby WAIVER AND RELEASE Rachel Brathen, its owners, officers, employees and instructors from any claim, demand and cause of action of any kind resulting from or related to my participation in the programs offered through the online platform. In taking part in the yoga classes, workshops, or other activities offered by Rachel Brathen, I understand and acknowledge that I am fully responsible for any and all risks, injuries or damage, known and unknown, which might occur as a result of my participation in the classes, retreats, workshops or other activities.

HOME Retreat

While the HOME Retreat is intended to be deeply supportive and nurturing in a sense that could potentially benefit many aspects of life, it does not take the place of professional medical advice, diagnoses, therapy, or treatment.
If you have specific concerns, questions, or a situation that may require psychological or medical help, please consult with a licensed professional. This includes questions regarding medical conditions, mental health concerns, diet, exercise, or other health and/or mental health programs.Never disregard professional medical advice, or delay in seeking it because of something you have read, seen, or heard in this course or its corresponding community.

Responses on behalf of Rachel Brathen ® or from Rachel Brathen ® team members are for informational purposes and are not intended as replacements or substitutes for any professional medical advice. If you need assistance, our team has compiled a list of resources that could be helpful during times of need. If interested, please reach out to retreats@rachelbrathen.com.

I have read

I have read the above release and waiver of liability and fully understand its content. I am legally competent to sign and voluntarily agree to the terms and conditions stated above.