Thank you for being here & taking time to share ❣️

... We created this survey to help us orient around where you stand in your relationship journey, so we can ensure this healing retreat & our related offerings support you, pour in, & help lift you up in the most effective, meaningful way.

PLEASE KNOW:

We - in this safe, healing, judgment-free zone - keep your details confidential & 100% private.

And too… With no right or wrong answers — please just share candidly from your heart whatever’s true for you right now.

First Name *

Last Name *

Email *

Phone *

... By checking ✅ this box, I hereby consent to receive personal msgs related to this online retreat, my acct., orders, &/or services I rqst'd💌Msgs may also include discounts, specials, new services, retreat appt. reminders, order confirms, acct. notifications, feedback rqsts, & more💚I also acknowledge my details shall be kept private & confidential~neither sold nor shared💌Msg frequency may vary💌Msg & Data rates may apply💌Reply HELP for help+STOP to opt-out💌

Part 1: Where You Currently Stand

1. Which of the following best describes your current relationship situation ? *

... Where On The Relationship Spectrum ?

1a. If you answered "other" above, please be welcomed to elaborate here...

"Other," Above ?... Please Elaborate.

2. If you’ve recently been through a breakup... Who initiated the breakup ?

... Who Initiated the Breakup ?

3. Would you say you're in relationship breakdown at the moment ?

Is your relationship in breakdown ?

3a. If you replied "Yes" to the Question #3, above, please be invited to share more {*what you did / do, what happened / what's happening, etc.}

What caused the breakup &/or breakdown ?

4. How long ago did the breakup occur ?

... Breakup = How Long Ago ?

4a. How long ago did relationship breakdown begin ?

When did breakdown begin ?

5. Have you broken up with or divorced your partner / wife / hubby / mate before ? And, if so, how many times ?

... Your First Breakup ?

6. How long have you been / were you together in relationship ?

... Relationship Length ?

6a. Do you have children with your partner / spouse / boyfriend / girlfriend ?

Any kids together ?

6b. How many children ?

Number of kids ?

6c. What ages ? {*Check all that apply}

What ages of kids ?

7. Are you currently hoping to reunite &/or repair your relationship with your SP / Specific Person ?

... Wishing to Reunite ?

7a. If you responded some version of "Yes" to Question #7, above, please share -- if any -- moves / strategies toward reuniting / relationship breakthrough do you / have you applied / take/n ?

What repair / reunification / breakthrough strategies ?

Part 2: CONTEXT~The Story Behind It

1. What happened ? What do you think, feel, sense, know led to the breakup, breakdown, or relationship difficulty ?

... What Happened ?

2. What’s the hardest part of this all ?

... The Hardest Part ?

3. If you aim to restore, &/or, reunite / 'get back together', why do you desire this ?

... Why Do You Want to Reunite ?

4. Do you believe your SP / Specific Person's your Divine Mirror, Twin Flame, Mirror Soul ?

... DM, TF, MS ?

Part 3: Where You’re Finding / Sourcing Strength

1. What’s one thing you feel relatively good about in your life right now, despite the challenges ?

... What's Feeling Good / Going Well ?

2. What’s something which gives you hope, strength, relief amidst the challenges ?

... Where's hope, strength, relief ?

Part 4: Your Journey So Far

1. What have you done to improve / restore your relationship -&/or- support your healing ? {*Check all that apply}

... Strategies to Improve ?

1a... If you answered "other" to the above, please be invited to share here

... My "Other" Strategy

Part 5: What You Most Need Now

1. What’s your biggest challenge right now as you navigate this season ?

... Biggest challenge ?

2. What kind of support would feel most helpful for you right now ? {*Check all that apply}

... What support would best benefit ?

2a... If you answered "other" to the above, please tell us what support would really hit home for you now ?

2a... What other support do you most need ?

We appreciate you for sharing your thoughts, feelings, experience, & heart with us.

Your responses help us shape the retreat experience — while also informing the personalization, quality, + nature of our ongoing care + support — so we can truly meet you where you currently stand, to help you to get where you intend to be.

♥️ We’re honored to walk alongside you on this path to healing.