Will you take a few minutes to fill out our welcome survey?

You're in and registered for the 2019 Rise Up Retreat.

We cannot wait to welcome you to the beautiful Wequassett Resort and Golf Club on November 8th through November 10, 2019.

But first, we need a bit more information from you.

Name *

First

Last

Email *

What is your age range? *

What is your marital status? *

If Other, please specify

How did you hear about the retreat? *

I've attended a Rise Up Retreat before
Jane Pollak (newsletter or social media)
Ken Nelson (newsletter or social media)
WH Cornerstone newsletter
Friend of colleague
Other(please specify)

If Other, please specify

Do you mind sharing with us what type of life transition you are going through? *

Divorce
Widowhood
Empty-nested (also known as "Mommy Pink Slip")
Retiring
A job change
A recent significant move
Sandwiched: taking care of multiple generations of family members
Other

If Other, please specify

Have you ever been on a retreat before? *

Do you mind sharing when and where?

Have you done any self-reflection work? *

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

1 star=not really and 5=yes and always looking to grow.

What else might you share that would be helpful for us to know to make sure this weekend is special and/or impactful for you?

Website