Please fill the following ^*

First Name ^*

Last Name

Email ^*

Phone Number ^*

Place ^*

press Enter ↵

Never submit passwords Report abuse

'Oops! something went wrong.',

Retreat Dreams:

press Enter ↵

Never submit passwords Report abuse

'Oops! something went wrong.',

Your biggest dream for this adventure? ^*

(Imagine it's already happened!)

press Enter ↵

Never submit passwords Report abuse

'Oops! something went wrong.',

Retreat activities that spark your soul: ^*

Movement

Creativity

Mindfulness

All of the above

press Enter ↵

Never submit passwords Report abuse

'Oops! something went wrong.',

Comfort zone adventurer? ^*

(Rate yourself on a scale of 1-10, with 10 being "bring it on!")

1 → Not likely

10 → Highly likely

Not likely Highly likely

press Enter ↵

Never submit passwords Report abuse

'Oops! something went wrong.',

If your life were a movie, what's the transformation scene you're hoping for? ^*

/

press Enter ↵

Never submit passwords Report abuse

'Oops! something went wrong.',

Tell Us Your Story:

press Enter ↵

Never submit passwords Report abuse

'Oops! something went wrong.',

What sparked your interest in this retreat? ^*

/

press Enter ↵

Never submit passwords Report abuse

'Oops! something went wrong.',

Share a bit about your journey – what led you here? ^*

/

press Enter ↵

Never submit passwords Report abuse

'Oops! something went wrong.',

Have you dabbled in any of these practices before? ^*

(Check all that apply)

Hatha Yoga

Breathwork

Meditation

Creative Expression (art, dance, writing, etc.)

press Enter ↵

Never submit passwords Report abuse

'Oops! something went wrong.',

If you've tried breathwork or somatic practices, what did you experience? What intrigues you about them? ^*

/

press Enter ↵

Never submit passwords Report abuse

'Oops! something went wrong.',

How do you usually express yourself creatively? ^*

/

press Enter ↵

Never submit passwords Report abuse

'Oops! something went wrong.',

Are there any physical or mental health challenges you'd like support with during the retreat? ^*

/

press Enter ↵

Never submit passwords Report abuse

'Oops! something went wrong.',

Community & Vibes:

press Enter ↵

Never submit passwords Report abuse

'Oops! something went wrong.',

Social butterfly, lone wolf, or happy chameleon? ^*

(Tell us how you roll)

press Enter ↵

Never submit passwords Report abuse

'Oops! something went wrong.',

Your signature joy-spreading move: ^*

(Dance-off, hugs, or contagious laughter?)

press Enter ↵

Never submit passwords Report abuse

'Oops! something went wrong.',

Bonus Round:

press Enter ↵

Never submit passwords Report abuse

'Oops! something went wrong.',

How did you stumble upon our magical retreat? ^*

(Was it fate?)

Instagram

Facebook

Friends & Family

Website

Other

press Enter ↵

Never submit passwords Report abuse

'Oops! something went wrong.',

Where would you love to retreat? 🌿 ^*

Choose your ideal setting for a transformative experience:

Goa – Lush monsoon magic, ocean breeze, and tropical serenity.

Himachal – Mountain charm, fresh alpine air, and peaceful landscapes.

press Enter ↵

Never submit passwords Report abuse

'Oops! something went wrong.',

Anything else you wanna share to help us create the perfect experience for you?

/

press Enter ↵

Never submit passwords Report abuse

'Oops! something went wrong.',

Bringing a buddy? Share their deets:

First Name

Last Name

Email

Phone Number

press Enter ↵

Never submit passwords Report abuse

'Oops! something went wrong.',

Thanks for playing along!

We can't wait to welcome you to the Life Moves family.
Let your Life Move – Explore, Express, Evolve.

That's all. Will get back to you shortly!

Create your own Youform

Youform

Welcome back! Loading your previous answers...

Life Moves Retreat:😀

Retreat Dreams:

Comfort zone adventurer? ^*

Tell Us Your Story:

Community & Vibes:

Bonus Round:

Thanks for playing along!

Youform

Welcome back! Loading your previous answers...

Life Moves Retreat:😀

Retreat Dreams:

Comfort zone adventurer? *

Tell Us Your Story:

Community & Vibes:

Bonus Round:

Thanks for playing along!

Comfort zone adventurer? ^*