Come to the Quiet January Retreat: Spiritual Direction Form

First Name: *

Last Name: *

Age: *

Occupation: *

Gender: *

Male

Female

Do you prefer working with a man or woman, or are you comfortable with either?: *

Man

Woman

Either

What religious denomination were you raised in?: *

What religious denomination/tradition do you currently worship/pray in?: *

Have you ever received spiritual direction before? If so, describe how you benefitted from it.:

Have you made any retreats in the past? If so, tell us when and what you remember of the experience.:

What do you hope to gain from this retreat?: *

How did you pray as a child?:

What has your prayer or relationship with God been like as you've become an adult? What is it like now?:

What are some of your devotional practices?:

Who is God to you? Who are you to God?:

Describe in detail a moment when you felt closest to God.:

What is your relationship with God like now?:

What is it you are seeking from God now?:

Do you have any special needs (medical, physical, etc.) that might help us in pairing you with a director?: *

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