NAME: ___________________

AGE:_______________

PRE-RETREAT SURVEY FORM

This survey is meant to help your director know you and thereby be able to accompany you in your
retreat.

1. What have been 2-3 most significant religious experiences in your life this
year? Describe how each experience has affected your desires and vision in
life?

2. When you look back at the past year, what has been most energizing and
fulfilling to you? What has been most draining?

3. What have been 2-3 most important concerns that occupied your heart
these past three (3) months or so? Any occasion(s) of crisis or
disillusionment?

4. What desires or dream fire your heart as you continue living as a

committed Christian?

5. What styles of prayer are you familiar with? What styles have occasioned
your most fruitful prayers?

6. Have you made the Ignatian Exercises in the past? How long, with whom
and in what context?
7. What kind of retreat guide would you prefer?