Weekender Questionnaire — THE MANA MOVEMENT

VIBE Weekender Questionnaire

Hello wonderful human!

We highly appreciate your time and trust in filling out this survey which helps our event preparation and allows our team to both hold the best possible space for you and know how to guide you the best way with the most understanding of you and your life chapter. ** Please be assured that this information is treated highly confidentially.

We have deep respect for every single person’s life and choices.

Name

First Name

Last Name

Emergency Contact (name and phone number)

Where do you live?

Do you have any food allergies that require swift medical intervention? If so, please outline.

Do you have any serious dietary requirements?

Do you snore? (moderately or heavily?)

Are you a light sleeper?

Is there any current or historical use of recreational drugs? If so, please describe.

Is there any current or historical use of medical drugs? If so, please describe

Have you had any psychiatric history or diagnosis and is there anything is current?

What are your intentions for joining this course?

What gains would you like to make from this course?

What are you willing to give?

Are you willing to ask for help when you need it, recognising that we are not mind-readers and require your clear and responsible communication around your experience?

Are you fully aware that this Weekender is not therapy and should not be treated as such?