• MOTHER-DAUGHTER CEREMONY  Questionnaire Form

    MOTHER-DAUGHTER CEREMONY Questionnaire Form

    Thank you for taking the time to answer these questions.
  • The Mother-Daughter bond can be one of the most beautiful and one of the most complex relationships in life.

    It may hold love, longing, disappointment, silence, misunderstanding, and inherited pain all at once.


    This sacred ceremony is designed to honor that complexity without defensiveness, fear or blame, and to create a supported space where healing becomes possible through truth, compassion, ownership and mutual respect.

     

    Mother-Daughter Ceremony
    A healing space for truth, resolution, and a new harmonious connection.
     

  • 3. Are you willing to listen to each other perspectives with the intention of fully understanding their views, emotions, expressions, and desires?*
  • 4. Are you willing to speak your truth, express your emotions, perceptions, and desires for the wellbeing dynamics of the relationship and for yourself?*
  • 5. Are you committed to using the insights gained from the ceremony to heal, enhance, and improve your Mother-Daughter relationship?*
  • 6. How would you describe your Mother-Daughter current level of Good Vive Energy ?*
  • 7. Please rank what you consider is important to you in your Mother-Daughter relationship?*
    Rows
  •  

    LEARN MORE ABOUT THIS CEREMONY

    *Come back to this form to sign and submit it.

     

    Liability Disclaimer &

    Acknowledgment of Responsibility


    For the Mother-Daughter Ceremony Journey facilitated by Mama Angie (Angie Tobon) and Vital Ki Inc.
    By registering for and participating in the Mother-Daughter Ceremony (hereafter "the Ceremony"), both participants ("Mother" and "Daughter," collectively "Participants") acknowledge and agree to the following terms:


    1. Nature of the Ceremony and Mutual Respect
    The Ceremony is a sacred, shamanic, and transformational journey designed to foster understanding, healing, and deeper connection. It is not a substitute for medical, psychological, psychiatric, or professional therapeutic treatment or diagnosis. All guidance, ceremonies, and healing practices offered by Mama Angie and Vital Ki are provided with the utmost respect and profound consideration for the emotional, mental, and spiritual well-being of each participant. The container is held with the intention of creating a safe, non-judgmental space for truth, compassion, and mutual respect.


    2. Voluntary Participation and Informed Consent
    Both Participants affirm that they are entering this Ceremony of their own free will and with full awareness of the process. Participants confirm they have read, understood, and had the opportunity to ask questions about the Ceremony description, including its preparatory guidelines and the nature of the work involved, before registering. Participation is a conscious choice made with a clear understanding of the emotional and spiritual depth of the journey.
    3. Acknowledgment of Risk and Personal Responsibility
    Due to the profound and deeply personal nature of this healing work, Participants acknowledge that the Ceremony may bring to the surface strong emotions, memories, and physical or mental sensations. Each Participant expressly assumes full responsibility for their own:
    Physical health and safety
    Emotional regulation and mental capacity
    Psychological well-being and reactions
    Each Participant is responsible for monitoring their own state of being and for seeking outside professional support (e.g., medical, psychological, psychiatric) should they deem it necessary before, during, or after the Ceremony.


    4. Release of Liability
    To the fullest extent permitted by law, each Participant, on behalf of themselves and their heirs, executors, and assigns, hereby releases, waives, discharges, and covenants not to sue Angie Tobon, Vital Ki, their employees, contractors, facilitators, agents, and assigns (collectively, the "Released Parties") from any and all claims, demands, damages, losses, costs, expenses, actions, or causes of action, whether known or unknown, arising out of or in any way related to their participation in the Ceremony. This includes, but is not limited to, claims for emotional distress, psychological discomfort, or any other negative consequences experienced as a result of or during the Ceremony.


    5. No Refund Policy
    Participants acknowledge and agree that due to the intimate, customized, and preparatory nature of the Ceremony, which includes access to preparatory materials, questionnaires, and the reservation of dedicated time and sacred space, all payments, including the full energy exchange of $1,777, are strictly non-refundable and non-transferable. This no-refund policy applies under all circumstances, including but not limited to changes of mind, scheduling conflicts, or unexpected personal events.

    6. Agreement and Acknowledgment
    By registering and submitting the energy exchange, both Participants acknowledge that they have read, understood, and fully and voluntarily agree to all terms of this Disclaimer and Acknowledgment of Responsibility. They confirm they are entering this journey with clear, authentic, and sincere intentions, taking full ownership of their personal healing path.

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: