Retreat Questionnaire - Worthy Retreats

PARTNER 1 NAME

First and Last Name

Mobile Number

Email

Mailing Address 1

Mailing Address 2

City

State / Province

Zip / Postal Code

Country

Date of Birth

Enter in MM-DD-YYYY format

Present Occupation

Instagram

Facebook

LinkedIn

Twitter

How did you hear about Worthy Retreats in Tlaquepaque, Mexico?

Do you have a valid and updated passport?

How many times per year do you travel (for business or personal)?

Have you been to Tlaquepaque, Guadalajara, Lake Chapala, or Central Mexico before?

Do you speak any Spanish?

Describe your current relationship dynamics. What are some parts you feel good about?

What are you craving MORE of right now in your current relationship?

On a scale of 1-10, how patient and accepting are you with yourself?

On a scale of 1-10, how patient and accepting are you with others?

Are you currently or have you ever worked with a Life/Business Coach?

What other Courses/Retreats/Workshops have your enjoyed and what did you like about them?

What personal outcome would you like to experience from this Couples Immersion?

Why is NOW the perfect time for you as a couple to make this dreamy-experience into a reality?

PARTNER 2 NAME