Rate your retreat....Start Date of Retreat* Date Format: MM slash DD slash YYYY What was your overall retreat experience like?12345(Please rate from 1-5, 5 being the highest) What did you like best about your retreat? Silence Accommodations Retreat Master Food Sister's presentation Chapel Time for personal prayer Library Retreat House grounds Gift Shop Other (Please check all that apply) Others:What would you recommend to improve your retreat next time?Is this your first retreat with us?YesNoHow were your accommodations during your stay?(Please rate from 1-5, 5 being the highest)Your Room12345Chapel12345Dinning Room12345Library12345Grounds12345Gift Shop12345CommentsDid you have any problems with your room that needed attention?Room # (required if there is a repair that is needed)Did the schedule provide sufficiently for…?(Please rate from 1-5, 5 being the highest)Quiet Prayer12345Rest12345Confession12345CommentsWas the content of the conferences helpful?(Please rate from 1-5, 5 being the highest)Content12345Length12345Speaker12345CommentsYour Retreat Experience… How were your meals?12345(Please rate from 1-5, 5 being the highest)CommentsHow was silence kept by the whole group of retreatants in general?12345(Please rate from 1-5, 5 being the highest)CommentsDid you visit the gift shop during your retreat?YesNoHow was the gift shop in the following areas?(Please rate from 1-5, 5 being the highest)Book Selection12345 Statue Selection12345 Music12345 Religious articles12345 Cards12345 Are there items you would like to see in our gift shop?How did you hear about us?SHRH WebsiteRetreat Notes / Spirit of CarmelParish BulletinFlyer at ParishFlyer at SHRH / St. Joseph’s Center CampusFriendThrough social mediaParish CaptainOtherParish Name:Others:Any final comments or suggestions?Day ConferencesHave you attended our one-day conferences?YesNoWould you be interested in attending our day conference hosted at our St. Joseph Conference Center?YesNoWhat topics interest you?Carmelite SpiritualityGrowing in your spiritual lifeTeachings of the Catholic ChurchPrayerPersonal healingFamily healingContemporary moral issuesOtherOther: Yes, I am interested in attending a day conference. Please contact me with the upcoming schedule. We need YOUR Voice! …Would you be willing to share your testimonial about your Retreat experience for use on our website, publication, etc.?YesNoIf your answer is yes, please complete the “Contact” section below. Your Contact InformationName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email PhonePlease check preferred mode of contactMailing addressEmailPhone
