self-compassion: the heart of healing 2025 Application form Name * First Name Last Name Email * Preferred pronouns * Date of Birth MM DD YYYY Country of Residence Have you previously participated in meditation, mindfulness or self-compassion retreats, programs or training? * Yes No If yes, please describe your previous experience Have you had any prior experience of yoga or breathwork? * Yes No If yes, please describe your previous experience Are there any other previous experiences with relevant practice/s that you would like to share? * Yes No If yes, please describe your previous experience What motivated you to apply for this retreat? * What are your primary goals or objectives for attending this retreat? * Are there specific aspects of self-compassion or mindfulness that you are particularly interested in exploring? * Do you have any physical health, mental health or other conditions that we should be aware of? * Yes No If yes, please provide details Are you currently and/or do you expect you will be taking any medications or undergoing any treatments prior to or during the retreat? * Yes No If yes, please provide details Do you have any dietary restrictions or allergies? * Yes No If yes, please provide details Is there anything else you would like to share regarding your health and wellbeing, that may be relevant to your experience during the retreat? * Yes No If yes, please provide details What is your preferred room type? * Standard Superior Deluxe Pool Suite If you intend to share a room, please provide details If you have any questions about the retreat, please note them below How did you hear about this retreat? Personal recommendation or word of mouth Professional recommendation or referral Social media Website Other Thank you!
