Renew. Revive. Rejuvenate. Conference 2025
June 2025 - TULUM MEXICO
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Can you sum up your intentions or needs for a retreat vacation?
Have you ever attended a retreat? If so when and where? Insight to what you gained or discovered at this event?
The Unwind. Revive. Awake. Retreat has 3 day, 4 day or 7 day program. Price ranges depend upon the duration. All inclusive of ground transportation to and from airport ( personal air travel round trip is additional to CANCUN or TULUM INTERNATIONAL) all meals, yoga, meditation, breathwork, excursions, events. We can discuss your best option in our phone interview. What is your preference retreat stay and are you seeking solo travel or bring a sister, best friend, aunt or mom?
Do you have any food allergies or medial conditions? Please elaborate,
What is your occupation?
How would you describe your mental health in the last 24 months?
Do you drink alcohol? If so how often?
Do you smoke or vape? If so how often?
If yes, is there a trigger to your drinking or smoking? What was going on in your life when you started using/drinking?
If yes, When you smoke or drink, how do you feel? How does it affect your (mental illness symptoms)?
Do you participate in AA? Would being in an environment with Happy Hour be an issue for you?
What is your level of experience with Yoga?
What is your level of experience with mindfulness?
What is your level of experience with breathwork?
How many hours do your sleep at night? How much deep sleep do you get?
Do you practice any programs to biohack your nervous system currently? Please elaborate.
Do you have any core questions I can address in our call?
What is the best time for a 30 min intake call? AM or PM? Best day?
Lastly, do you suffer from anxiety, depression, sleep trouble, weight gain, insomnia which are all related to your nervous system?
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