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Seid Manor Wellness Retreat

Seid Manor Intake

Free Seid Manor Wellness Assessment

Complete this assessment and we’ll send you a personalized wellness overview. A Seid Manor representative will contact you to discuss next steps.

Identity

Full name *

Email *

Phone (optional)

Intent & Readiness

What brings you to Seid Manor at this point in your life? (Select up to 2) *

I feel chronically stressed or burnt out I feel low, anxious, or emotionally flat I’m struggling after a major life change (loss, separation, transition) My physical health or digestion feels off I want to support long-term health and longevity I feel disconnected from myself or my sense of direction

Select up to 2.

If a major life change is part of why you’re here, which best fits?

Loss / grief Divorce / separation Other transition

How ready do you feel to actively engage in a structured healing experience? *

5/10

Which outcomes matter most to you right now? (Select up to 3) *

Deep, restorative rest Reduced anxiety or internal tension Improved mood and emotional clarity Physical relief or reduced inflammation Better digestion and energy Renewed sense of purpose or direction

Select up to 3.

Load & Depletion

Difficulty switching off mentally *

Never Occasionally Often Almost always

Feeling tense, wired, or on edge *

Never Occasionally Often Almost always

Poor or unrefreshing sleep *

Never Occasionally Often Almost always

Emotional numbness or irritability *

Never Occasionally Often Almost always

Persistent fatigue *

Never Occasionally Often Almost always

Physical tension or discomfort *

Never Occasionally Often Almost always

How long has this pattern been present? *

Less than 3 months 3–6 months 6–12 months More than a year

How much is this affecting your daily functioning? *

5/10

Nervous System Profile

When under stress, you tend to: *

Become restless, anxious, or over-activated Shut down, withdraw, or feel flat Fluctuate between the two Unsure

How do you usually respond to strong physical sensations (heat, cold, deep bodywork)? *

I find them grounding and helpful I tolerate them in moderation I’m sensitive and prefer gentler approaches I’ve had negative reactions in the past

How comfortable are you with stillness and quiet? (1 = very uncomfortable, 5 = very comfortable) *

1 2 3 4 5

Experience Alignment

Which of the following appeal to you?

Sauna Cold plunge Massage or bodywork Sound immersion Gentle yoga or movement Breathwork Nature walks or hikes Art or expressive therapy Hydrotherapy Red light therapy Reflective or spiritual practices

You can select multiple.

Which best describes your preference? *

Gentle, restorative, and supportive Structured with some challenge Deep and immersive A balance of comfort and intensity

Safety & Responsibility

Have you ever been diagnosed with or experienced any of the following? *

High blood pressure Heart or cardiovascular condition Seizures or fainting episodes Severe asthma or breathing issues Bipolar disorder or psychosis None of the above

You can select multiple.

Are you currently taking any of the following? *

Antidepressants Mood stabilisers or antipsychotics Blood pressure or heart medication Benzodiazepines None of the above

You can select multiple.

I understand Seid Manor is not a medical facility. I confirm that I have disclosed relevant medical information and will seek medical clearance where advised. I participate at my own discretion. *

Practical Details

How much time could you realistically dedicate to this experience? *

3–4 days 7–10 days 14–21 days Flexible / unsure

Which best reflects your budget comfort? *

I want the minimum effective stay I can invest meaningfully for the right outcome I’m open to a longer, deeper immersion

Are you travelling from: *

South Africa International

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2026 Seid Manor Wellness Retreat Blending nature, relaxation and science to heal