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What are you longing to receive from this retreat experience?
Have you participated in retreats, womenā€™s circles, or somatic/healing work before?
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In moments of emotional intensity, how do you typically self-soothe or regulate your nervous system?
Are you open to being lovingly witnessed by others in circle ā€” and holding space for others when needed?
Do you currently have personal practices for grounding or emotional regulation (breathwork, meditation, journaling, etc)?
Yes
No
If yes, please describe.
Do you currently experience any diagnosed mental health conditions (anxiety, depression, PTSD, etc)? If yes, please share what support you have in place and how it is currently managed.
Are you currently under the care of a therapist, counselor, or mental health professional?
Yes
No
Are you currently taking any prescribed medication for your mental/emotional wellbeing?
Have you experienced any recent major life traumas or emotional events we should be aware of (death, divorce, hospitalization, etc)?
This is a shared group experience, not a private 1:1 coaching or therapy container. You are responsible for knowing your own edges and asking for what you need, within reason.
I understand and agree.
Are you open to following group agreements and respecting the energy of the shared space (ritual timing, silence, tech-free moments, etc)?
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No
I have concerns (please explain)
Do you understand that your place is secured only after deposit/payment?
Yes
Is there anything else youā€™d like to share with us from your heart?
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