This is step one to attending the Flow Life Retreat!
Hello!

Thank you for your interest. I look forward to keeping you updated on the Flow Life Retreat. I will be offering these transformational experiences as needed throughout the year in Oregon and Colorado. By completing the form below, you are expressing an interest in receiving emails pertaining to retreat availability and programs. 

You can read about the agenda, pricing, program, mission, and more at www.flowliferetreat.com.

Once you feel ready to chat, you can reach out and we can schedule a call. Let's find out if this retreat is a good fit for you. Each retreat hosts four to eight people in a rented home (shared and individual rooms are available). The couples retreat will host up to four couples. The four days are filled with opportunities to be reflective, still, adventurous, and courageous. You are following life's opportunities wholeheartedly.

I look forward to getting to know you better.

Warmly,

Eva
FlowLifeRetreat@gmail.com
www.flowliferetreat.com

** This retreat is not a match for anyone taking lithium, diagnosed with bi-polar or psychosis, recently attempted suicide or currently self harms.

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Art from a March participant, A 54-year old, heading into a new chapter. We asked the participants to create something that would remind them of their journey.
First Name *
Last Name *
Address (Street)
Address (City, State) *
Cell Phone
Why are you interested in the Flow Life Retreat? *
What is the biggest challenge you face today?
Which retreat(s) are you interested in attending? *
Required
How did you first hear about us?
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How old are you? *
Do you have any food allergies or dietary restrictions?  If so, what?
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Have you taken psychedelic/entheogenic substances before? Check all those that you've taken.
*
Required
Are you currently taking any medication that affects your serotonin system? (MAOI's, SSRI's, SNRI's, etc).
*
If you are, please let us know what you are currently taking:
Do you have any history of psychiatric disorders (borderline personality disorder, schizophrenia, bipolar, psychosis, etc)?
*
If you answered yes or maybe, please describe:
Have you engaged in any intentional self-harm in the last year?
*
Have you been diagnosed with PTSD?
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Have you recently had an intense emotional shock or grief, such a death of a loved one or a tough break-up?
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Would you say you have a significant amount of unresolved emotional trauma?
*
Do you have any serious heart, liver, or kidney conditions?
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Are you pregnant?
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Have you had a concussion in the last 6 months?
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What questions do you have for me? (Pricing and Program can be viewed under "retreat info" at www.flowliferetreat.com)
If you have picked a date and submitted a deposit ($500) or payment, please let me know here. If you are seeking scholarship support or a payment plan, please email me, flowliferetreat@gmail.com and let me know a little bit about you and why this is the right time for you to take this journey. I look forward to connecting.                         
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