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Harmonium Resources

Upcoming Events

Harmonium Resources

Upcoming Events

Harmonium Resources

Autumn Retreat Survey

Thank you for filling out this survey so our chef can prepare our menu and I can make any adjustments to our schedule!

Please fill out this form no later than September 1st (earlier is better!) —Jen

Name *

First Name

Last Name

Do you have any food allergies? *

Do you have any food sensitivities and aversions? *

Do you have any favorite fall dishes?

Do you have any sensitivity to essential oils and/or incense? *

Yoga Props

Please check all that you can bring with you to the retreat. I will try to supplement as much as possible.

Yoga Mat

Bolster

Yoga blocks

Strap

Eye pillow

Movement Preferences & Safety *

What would you like me to know about your body and practice?

Are you interested in receiving physical touch during yoga?

You are always welcome to change your mind!

YES

No thank you

To be determined

Do you consent to Jen and her assistants taking photographs and videos to be used for future marketing purposes? *

Yes, that's fine with me

No, please do not share images of me from the retreat

Anything else you would like me to know that would foster a sense of safety for you?

Thank you so much! See you soon, Jen

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