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Break-Through Retreat Preparation
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What are your major life goals?
What do you hope to gain from participating in the Break-Through Retreat
What areas of your life are you most dissatisfied with or would like to change?
What qualities or behaviors would you like to change in yourself?
Describe the quality of your relationship with your family in a few words (spouse, parents, siblings, children)
The following are some significant and painful experiences that may have happened in your life from infancy to present time. Please write briefly about the areas below or others that have had the most impact on your life. Adopted; given up a child for adoption; abortion; parents divorced; abandoned by parents; alcoholic or drug addicted mother, father, spouse or partner; death of a family member or friend; abuse (sexual, physical or emotional); raped; molested; attempted suicide; suicide of a family member or friend; divorced; betrayed in relationship; serious or life-threatening illness or accident; experiences associated with war.
What are your spiritual goals?
What are your current spiritual practices?
What spiritual or personal growth groups have you been involved with, when and for how long?
What is your prayer or deepest desire for this Retreat?
Do you have any food restrictions or dietary needs?
Do you smoke?
Do you take drugs or alcohol?
If yes, what and how much?
Is there anything we need to know about your physical or mental health that could restrict participtation in your retreat?
Have you ever been suicidal? If yes, please eloborate.
In case of an emergency, who should we contact?
Is there anything else you would like us to know?
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