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STEP 1: FILL OUT THE FORM BELOW

First Name *

Last Name *

Email *

Phone *

Which best describes you right now? *

Coach / Therapist / Healer

Yoga Teacher / Movement Practitioner

Qigong Practitioner / Instructor

Fitness / Exercise Professional

Wellness Enthusiast

Simply here for personal growth and transformation

What practices or approaches are you currently exploring or involved in? *

What are you currently looking to deepen, explore, or add to your practice, life, or work? *

What would make this experience truly meaningful or valuable for you?

How ready are you to step into a deeper level of training and personal development? *

Curious and exploring

Ready for meaningful change

Fully committed to growth

Which best describes your intention for this retreat? *

Personal transformation and self-mastery

Deepening my current practice

Exploring Qigong at a higher level

Potentially teaching or sharing in the future

I’m open and want to see where it leads

Are you open to being challenged physically, mentally, and emotionally as part of this experience? *

Yes

Somewhat

Not sure

Are you prepared to invest in a premium retreat and training experience?

Yes, ready to move forward

I’m exploring options

I need more information

If accepted, how soon would you be ready to secure your place? *

Immediately

Within 1 week

Within 2–4 weeks

Why does this experience feel relevant for you right now? *

If you were to fully commit to this experience, what do you feel could shift for you? *

Are you open to continuing your training beyond the retreat if the path feels aligned? *

Yes

Possibly

Not sure