Pre-foRest Questionnaire

This pre-foRest questionnaire will help us get to know you a bit more in preparation for the retreat, and will give us the opportunity to support you and your experience, intentions, background, and present circumstances. 

The questionnaire will take 10 minutes of your time. Please complete no later than the 13st July. For any questions regarding this form or further information please contact Gina Geremia at gi**@*********ia.com.

    1
  •  
    Very Little
    Beginner
    Intermediate
    Advance
    Expert
    Forest Bathing
    Yoga
    Kinesiology
    Energy Coaching
    Nature Sound Immersion
    Mindfulness & Breathwork
    • 2

  • The questions in this section will inform your learning experience.

    We will ask some of these questions again after the immersion to enrich your reflections. They can be used to notice what has changed for you.
  •  
    Strongly Disagree
    Somewhat Disagree
    Neither Agree nor Disagree
    Somewhat Agree
    Strongly Agree
    I am comfortable being outdoors, even in unpleasant weather.
    I am curious about how different plants, animals, and ecosystems look and work.
    I can find something to do everywhere in nature.
    There is an infinite number of activities that I can do in or with nature.
    I feel attached to certain places in nature as they are special to me.
    I can tell if plants, animals, and ecosystems surrounding me are healthy or not.
    I have vivid memories in or with nature that have shaped who I am.
    I know how to take care of plants, animals, and ecosystems around me.
    I am concerned, care profoundly, and respect all plants, animals, and ecosystems around me.
    I feel a deep connection and love for the plants, animals, and ecosystems around me.
  •  
    Very Low (1)
    Low (2)
    Regular (3)
    High (4)
    Very High (5)
    Health & Fitness
    Social Relationships
    Spiritual
    Life Vision
    Business & Career
    Personal Growth
    Physical Environment
    Fun & Rereation
    Finances
  •  
    At no time (1)
    Some of the time (2)
    Less than half the time (3)
    More than half the time (4)
    Most of the time (5)
    All of the time (6)
    I have felt cheerful and in good spirits
    I have felt calm and relaxed
    I have felt active and vigorous
    I wake up feeling fresh and rested
    My daily life ha been filled with things that interest me
    • 3
    • 4
  • You will have time to reflect again on some of these questions some weeks after the retreat.
  • You will have time to reflect again on some of these questions some weeks after the retreat.
    • 5
  •  

These offerings are not a replacement for medical or psychological care, but a supportive complement to your overall well-being. Like stepping into a quiet forest clearing, this space is designed for reflection, renewal, and growth.

n8tureRx and foRest are a trading names of Gina Geremia, operating as a sole trader

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