The Restoration Experience Application

The Restoration Experience is an unique experiential immersion where you will learn how to take care of your body, recover from the demands of your daily life, and leave with the tools that you can use on a daily basis so you can thrive and not just survive.

APPLICATION

Please fill out every answer to the best of your ability in order to be considered for this unique experience!

1. Name

2. Email

4. What are you trying to accomplish or achieve in the next 5 years?

5. Which of the following categories do you need help with in order to accomplish your dream: Physical Capacity, Mental Capacity, Emotional Capacity, Spiritual Capacity, Skills, Energy, Routines

Physical Capacity

Mental Capacity

Emotional Capacity

Spiritual Capacity

Skills

Energy

Routines

Why is restoration important to you at this point in your life?

7. Which experience interests you?

Father/Son Retreat

An All-Women Retreat

An All-Men Retreat

A Couples Retreat

How do you currently restore?

Vacation

Sleep

Self-Care

Therapy

How often do you currently restore?

Daily

Weekly

Monthly

Occasionally

How much sleep do you get?

0-3 hours

3-4.5 hours

4.5-6 hours

6-7.5 hours

7.5-9 hours

9+ hours

How much do you rest?

0-30 Minutes per day

30-60 Minutes

60-120 Minutes

> 120 Minutes

What word best describes you?

Controlling

Impatient

Obnoxious

Manipulative

Elitist

Picky

How many times a week do you exercise rigorously?

0-1

2-3

4-5

6-7

What are your dietary preferences?

Dietary restrictions

Vegan

Protein Eater

None

8. How stressed are you?

About to implode

Extremely

Moderately

Feeling good

Not at all

9. Which season would be your first preference?

Winter

Spring

Summer

Fall

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