Retreat Questionnaire

It is our vision, mission, and desire to create a place of rest and a healthy atmosphere for you to nurture your spirit, soul, and body. We all rest differently and at times are in need of different types of rest. In order to better serve you, please fill out this questionnaire and return it to us at least two weeks before your retreat weekend.

(Download the Word Doc to your computer, edit, and send back electronically OR Print off PDF, fill out and send back by mail)

1. Briefly tell us why you are retreating with us.

2. How do you see your retreat time structured?

❑ Directed ❑ Non-Directed ❑ Combination of Both

3. Will you be interested in scheduling a ministry/prayer appointment?

See website for differences between each one of these ministries

❑ Ministry of the Healing Word

What is your ministry need?

❑ Dream Coaching

What is your desired goal or focus for this appointment?

❑ Spiritual Direction

Are you in any particular season of discernment that you would like to share before

this appointment?

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4. Will you be interested in any of the following wilderness adventures?

❑ Hiking ❑ Fishing ❑ Golfing

These activities can be with or without your retreat guides

❑ Rafting ❑ Mountain Biking ❑ Hot Springs

These activities are self-guided only

❑ ATVing

Guided activity only

If you have interest in any of these activities, we will be in touch with you to get a better idea of when you would like to fit it into your weekend, what you will need, and additional cost.

❑ No thank you…..no wilderness adventures this time

5. Meals & Dietary Needs

Meals are typically family style with your retreat host and guide.

Tell us if you have any dietary needs or food allergies?

Is there anything you dislike or do not prefer?

What do you like to drink at meals and in between meals?

Are you a coffee drinker? Hot tea drinker?

We are very much looking forward to meeting you and serving your every need. We will be praying for a fresh encounter with the Lord, a time of rest, relaxation, restoration, and renewal. We commit to you our time, service, and gifts to be used for His glory in your time here at Healing Springs.

In His Service,

Steve & Nancy Ellen Ranfranz

Healing Springs Ministries605 Hacienda Rd www.healingspringsministries.com

303.669.7790 Hartsel, CO 80449