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.

Name *

First

Last
What motivates you to join this retreat? (You may select multiple) *

Stress reduction Fatigue restoration Distraction from daily life Connection with Self (including reconnecting with your Natural Rhythm) Connection with nature Time in quiet space to reflect Learn new nature immersive practices Renewed focus on life vision Other
If you selected 'other', please describe.
What practices are you most interested to explore in this immersion? (You may select multiple) *

Forest Bathing Kinesiology Yoga Energy Coaching Nature Sound Immersion Mindfulness Meditations & Breathwork Somatic Movement Creative Nature Arts Reflecting & Nature Journaling Social Engagement/Discussion Circles Other
If you selected 'other', please describe.
What do you expect to learn and take away from this retreat? *
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.
How do you rate your current health?

Very bad (1) Bad (2) OK (3) Good (4) Very Good (5)
What movement practice(s) have you incorporated in your daily life over the past 2 years? *
When do you usually practice? *

Indoor at home Gym, community centre, fitness club Outdoor in park Outdoor in residential space (garden, terrace, etc) Other
If 'other', please describe
On average, how often do you go outdoors and spend time in nature in Spring/Summer? *

1 time a week 2 times a week 3 times a week Everyday <4 hours Everyday >4 hours You will have time to reflect again on some of these questions some weeks after the retreat.
On average, how often do you go outdoors and spend time in nature in Autumn/Winter? *

1 time a week 2 times a week 3 times a week Everyday <4 hours Everyday >4 hours You will have time to reflect again on some of these questions some weeks after the retreat.
In your work life, do you (or did you) focus on issues related to nature/ the environment? Describe.
We may capture media footage (videos/photos) during the nature immersion. Let us know if you give us consent to use your image(s) in future promotional activities.

Yes No Yes, but not showing my face.
Do you agree to receive email or our newsletters from time to time at the email you have provided?

Yes No
Any other comments/considerations you would like to share with us in preparation for the retreat?

Pre-foRest Questionnaire

The questions in this section will inform your learning experience.