Embody Life Retreats and Events

with Alison Rothman MA, CYT, Emotional Doula

Welcome!

A very warm welcome! I am so excited to share this retreat/event experience with you and will do my absolute best to ensure that you have everything that you need in order to truly drop into the magic of the gathering.

Please know that I am available at any point before, during, and after for support via email, phone, and in person.

Thank you in advance for taking the time to answer these questions with as much detail as possible. It is helpful for me, as your retreat leader, to have some background information as well as to understand currently what’s alive for you, so that I can make sure that you are well tended to.

To Your Embodied Wellness,

Alison Rothman, MA, CYT, Emotional Doula

Spotify Embodied & Awake Podcast with Emotional Doula Alison Rothman, MA CYT

Please complete the form below

Which retreat or event are you attending?*

Name

First Name

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Flight/Travel information

**For weekend/weeklong retreats only

Have you been on a retreat before? If so, please let me know what kind, where, and anything else that feels important to share.

What is your experience in yoga? Meditation? Group process? Dance/Movement? Ceremony/Ritual?

Do you have any specific needs around food (only for multi-day retreats)?

Is there anything in particular that you are working with during our retreat time (i.e. major life events, transitions, etc.)?

Do you have any injuries or physical limitations?

Do you have any concerns or special needs that we should be aware of going into our retreat time together?

Any other important information that would be helpful for us to know going into our retreat time together?

Are you currently in any therapeutic process? Have you been in therapy and/or coaching in the past? If so, please elaborate.

Are you navigating recovery from addiction, trauma, and/or PTSD? If so, it is important for me to understand the magnitude of your experience so as to best be of support.

What is your intention for your retreat time?

How did you learn of this retreat?

Alison’s Embody Life Website

Facebook

Instagram

Word of Mouth/Referral

Embodied Wisdom Newsletter