GUEST QUESTIONNAIRE

Cheryl day + nicole rucker in Loire Valley

September 26-October 1, 2025

Hiya!

Thanks for coming to fill out your guest questionnaire for your upcoming retreat!

Please respond with as much detail as possible so we can provide the best experience possible. See you soon!

Name

First Name

Last Name

Preferred Name and Pronouns

Phone

Country

(###)

###

####

Date of birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact

First Name

Last Name

Emergency Contact Phone #

Country

(###)

###

####

Arrival Flight Airport

Arrival Flight Date and Time

Arrival Flight Number

Departure Flight Airport

Departure Flight Date and Time

Departure Flight Number

Arrival Train Date and Time

Arrival Train Number

Departure Train Date and Time

Departure Train Number

OTHER - Travel Itinerary

Please provide any other travel before or after the retreat including parts of your travel planning that you would like us to help with!

Are you traveling alone or with a companion? Please provide name and contact info of your travel partner.

Are you planning to rent a car ?

Please list any food allergies or sensitivities and we will do our best to accommodate you !

Are there any medical or mobility issues that we should know about?

Are you celebrating anything special during this trip?

What are you most excited about during the retreat?

What's your favorite french pastry or dessert?

Do you speak any French?

Ben, oui! Carrement!

Oui, un peu

Oui, but just for myself

Not a word!

Anything else we should know before we see you?

How did you hear about Rêverie ?