
SELF REFLECTION
QUESTIONNAIRE
This questionnaire is designed to help you reflect upon and quantify your healing journey – from daily routines to relationships to emotional responses. This process of answering introspective questions, with simple numerical responses, gives you an opportunity to check in on your current state of being - and keep track of that state over time. It may provide you with clarity about your overall progress, help you spot patterns or blind spots, and encourage you to take certain next steps.
We will offer the survey to you once before your retreat and three more times in the year that follows. Each time you complete it, we will send you your scores (for each section and an overall score). You may continue using the survey for as long as you choose.
The questions take about 15 minutes to answer. For best results, answer quickly and honestly, and pay attention to what you think and feel as you go through the process. Participation is optional and your name will never be shared with anyone.