Hope & Healing Retreat Questionnaire

What size shirt do you wear?

Would you be willing to share a room with another mom?

Do you have any dietary needs or restrictions (allergies, sensitivities, preferences)?

Provide the name of 3-4 of your favorite non-refrigerated snacks or goodies (chips, cookies, candy, etc.).

Provide the name of one of your favorite refrigerated snacks.

Provide the name of your go-to drink (what you drink with meals and throughout the day).

Do you drink coffee? If so, just in the morning or periodically through the day? What are your favorite coffee syrup flavors?

Are there other hot beverages you prefer (hot chocolate, tea, etc.)?

Do you prefer a big breakfast (eggs, pancakes, etc.) or something more simple (yogurt, fruit, etc.)?

Do you have any accessibility needs (mobility, hearing, visual, etc.)?

What are some hobbies or things you enjoy doing?

Do you have any medication or medical needs we should be aware of while you’re with us?

Is there anything that helps you feel safe, grounded, or supported when big emotions arise? Are there specific coping tools you rely on when anxiety or grief intensifies?

Are there particular days, times, or activities that tend to be triggering or difficult for you (provide details)?

How do you prefer volunteers respond if you become overwhelmed (e.g., quiet support, distraction, space alone)?

Are there particular retreat activities you’re most interested in exploring (e.g., yoga, journaling, group discussion, nature walks)?

Is there anything that makes you anxious about meeting new people that we can help ease?

What are you most hoping to gain, experience, or receive from the retreat?

Are there goals or intentions you want to focus on during the weekend?

Are there anniversaries or special dates we should be aware of during the retreat?

Is there a comfort item that brings you a little joy? Is there anything we can have waiting in your room that would feel comforting when you arrive?

Are there scents that are calming—or ones we should avoid?

Is there anything else you want to share so we can support you well during the retreat?

Please share anything you’d like others to know about your child—their spirit, what they loved, or meaningful parts of their story. This helps us honor them and helps the group feel more connected before we gather.