Apply for a Therapy Intensive Retreat Retreat Application *** If your application is approved, you will be contacted with an invitation and fuller intake survey. Name * First Last Email Address * Are you applying for: High-Functioning Women’s Retreat Private High-Power Couples Retreat Women’s Retreat for Friends and Family What Brings You Here What drew you to apply for this intensive or retreat? What are the main challenges you are currently experiencing in your life or relationship? What would you most hope to gain from this experience? If this intensive were successful for you, what would feel different afterward? Is there anything specific that recently happened that made you realize you want support now? Have you participated in therapy before? Yes No If yes, briefly describe: Therapy intensives involve several hours of focused emotional work. Do you feel ready for this type of experience? Yes No Unsure Is there anything important you would like us to know before submitting your application? *** If your application is approved, you will be contacted with an invitation and fuller intake survey.