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Welcome to Your Journey of Wellness and Transformation.

We're excited to have you join us on this incredible path to relaxation and self-discovery. Please take a few minutes to fill out this questionnaire so we can tailor the Goa Wellness Retreat experience to your needs and expectations.

Personal Information

Why are you interested in attending the Goa Wellness Retreat?

What are your primary goals for this retreat?

What are the biggest challenges you are currently facing in your life?

If you prefer a single occupancy in a double room, there will be an additional charge of £900 per stay. Would you like to choose that option?

If you prefer a single occupancy in a double room, there will be an additional charge of £900 per stay. Would you like to choose that option?
A
B

Is there anything else we should know to ensure you have the best experience at the Goa Wellness Retreat?

To ensure a safe and supportive experience during the retreat, could you please inform us of any medical conditions or mental health considerations we should be aware of?

Do you consent to the processing of your personal data for organizational purposes of the Goa Wellness Retreat?

Do you consent to the processing of your personal data for organizational purposes of the Goa Wellness Retreat?

Do you agree to the use of photos and video materials, in which you may appear, for the promotion and documentation of the Goa Wellness Retreat?

Do you agree to the use of photos and video materials, in which you may appear, for the promotion and documentation of the Goa Wellness Retreat?

Acceptance of Terms and Conditions

Please review our terms and conditions for the Goa Wellness Retreat before proceeding.
Acceptance of Terms and Conditions
Thank you for taking the time to complete this form. Once you have submitted your information, we will review it and contact you soon with further details about the Goa Wellness Retreat. We look forward to embarking on this journey with you!

Where did you hear about us?