Dancing the Goddess Within Bellydance Retreat Survey We’d like to create the bellydance retreat you dream of. Please let us know what you are most enthused by and what suits you best. NOTE: There are no required fields (other than contact info so we can credit you).  Please fill out whatever you want us to know.  All this information helps us customize the retreat to your specific needs and desires, so they more you tell us, the more you'll enjoy the bellydance camp.  PS: If you would like the discount, we do need to know your name and contact info. You can select multiple options from the lists (please do!) by holding down the Apple key (on Macs) or the Control key (on PCs).   Your comments are greatly appreciated! Please click on Submit when ready to send.   What interests you about a bellydance retreat--and this Bellydance and Goddess Retreat in particular? (What would you like to get out of it?) Generally speaking, when in the year is the best time for you to get away? Choose Month January February March April May June July August September October November December Choose Season Spring (March - May) Summer (June - Aug) Fall (Sept - Nov) Winter (Dec - Feb) School Season Choose Day Midweek Weekends School days School holidays Any old time is good for dancing! When are the worst times? Choose Month January February March April May June July August September October November December Choose Season Spring (March - May) Summer (June - Aug) Fall (Sept - Nov) Winter (Dec - Feb) School Season Choose Day Midweek Weekends School days School holidays Any old time is good for dancing! The planned date is Wednesday Aug 24 to Sunday Aug 28, 2005. How is this date for you? Please explain. What length retreat do you prefer? Weekend 4 day Week-long 2 weeks Other Meals: All provided Some provided None provided Vegetarian Non-vegetarian Mostly vegetarian Organic Non-organic Mostly organic Would you like to have: Massage Bodywork Energy healing Manicures Pedicures Professional Mendhi tattoes Other self-care treats: Pay per use 1 session included in price More than 1 session included Activities: Would you prefer: lots of activities available all day long lots of free time to relax or whatever lots of activities, but some of them optional so I can relax or participate, as I choose Organized group activities Open activities, on my own or with a small group What is your preferred accommodation: Private room Shared room Motel B&B Billetting Camping Other: Do you have any specific needs when going to workshops, or bellydance workshops? The Bellydance & Goddess Retreat we envision is: 5 days long, includes all meals (mostly organic), with minimum 4 hours per day bellydance instruction, morning yoga, 1/2 hr private lesson, guided exploration of the Goddess Within, additional dancing and extracurricular activities, materials and instruction to make your own beaded foot thongs, and 1 massage (or pedicure/manicure) and costs only $450-500. How does this price seem? A real bargain for all I get! Out of my range, but fairly priced Reasonable A little high Much too high Other: What would you be willing to do without in order to decrease costs? Shorter workshop Bring my own food Squeeze a lot of people into accomodations Bring a tent Skip massage and body-care treats Nothing: it's perfect as is! I'd happily pay for an even more luxurious retreat Other: Should we have a sliding scale, bursary, or other assistance for those with restricted incomes? Yes No Not sure Would you support or need such assistance? Support Need Neither Other: Level of bellydance experience: Never danced before Never bellydanced before Beginner Intermediate Advanced Professional (performer or teacher) Other: I Do Do not have children. Ages: n/a 0 - 5 years 6 - 10 years 11 - 15 years 16 years + Classes:   Which would you most like to do?  (Select as many as you like.) Hidden Language Hatha Yoga Dance your prayers Creating your own choreographies Polishing your choreography Performance skills Overcoming blocks to dancing Elements of the dance Learning a set choreography Middle Eastern rhythms Learn drumming Correct stretching & posture for dance Dancing with injuries/disabilities Dream yoga Kundalini yoga Dancing your chakras Dancing with sacred symbols Mother of Light Prayer Dance Divine Mother Prayer Dance Spiritual practices Free your body: Movement exploration Playing zils Dancing with veil Improvisational dancing (for performance) Dancing to live musicians Fusion style (North American Cabaret) Tribal Fusion Spanish Gypsy Taqsim Technique improvement Beginners: Bellydance in a day Safely Stretching (for teachers) Dancing from Your Centre Being in Body Somatics warm-ups & healing Energies of the Dance Learn about the Goddesses End performance or show For our group only (hafla party) For group, families, friends For group and general public Other: What parts of the retreat do you feel are most important to you? Anything else you'd like to add? For your $10 savings, please be sure to leave your contact information, especially email: Name: Email: Phone: Address: City or Town: Province / State: Country: Postal / Zip code:       Thank You for your kind participation!! We look forward to seeing you this summer!       Please join us for this first annual Bellydance & Goddess retreat "Let's make history together!"