Awaken Cyclical Retreat - Interest
Hey! You're here.
Completing the below form guides me to feel and appreciate you. Don't hesitate, nor procrastinate, over fuss or overthink it. Can't wait to speak with you.
Once this has been completed you'll receive our Retreat Information PDF with all our retreat details including price, workshops, accomodation and more.

On retreat Jema is with you EVERY STEP of the way, it's like having a bestie in your pocket 24/7. Our retreats are for women whom are ready to and willing to embrace their journey, expand their minds, hearts and are ready to take action. This 4 day retreat immersion provides the space and all the accountability, support, education, in-depth knowledge and resources you need to awaken your inner health intuition, guides and reclaim your vitality.

*Retreat Dates: Thursday 30th March - Sunday 2nd April 2023

Jema 💛
Sign in to Google to save your progress. Learn more
Email *
I'm ready to awaken my cyclical knowledge, heart, body, womb and energy on this retreat!
Clear selection
Let's kick it off with, your full name? *
Date of Birth *
MM
/
DD
/
YYYY
Your best contact mobile phone number *
Location (City, State & Country) *
What about this retreat is calling you to say YES to yourself and your own growth and self transformation as a women? *
What is ONE thing that you would like to achieve/create while working with me that would change your life forever? *
How will you know you have achieved this? *
What are you needing the most support with in this moment? *
Please rate the following questions between 1-10 level (10 being High) at which you feel you are reaching your full potential in each area of life. This is relative to you (not compared to another person) and your life right now. Not where you want to be, but honestly are.
Connection with your Feminine, Female Body *
Rate from 1-10 (1 being low, 10 being high)
Connection with your Menstrual Cycle *
Rate from 1-10 (1 being low, 10 being high)
Fulfillment (spiritual fulfilment and inner happiness) *
Rate from 1-10 (1 being low, 10 being high)
Emotional Wellbeing *
Rate from 1-10 (1 being low, 10 being high)
Physical Wellbeing *
Rate from 1-10 (1 being low, 10 being high)
Financial Wellbeing *
Rate from 1-10 (1 being low, 10 being high)
Last one; Relationships *
Rate from 1-10 (1 being low, 10 being high)
Is there anything holding you back from saying YES to attending our Awaken Cyclical Retreat?
The Investment:   It is anywhere between $1,500 and $5K AUD to work with me - sometimes more if we continue over years. Yes there are payment plans but most importantly, are you in a space to own the value of this kind of work, at this time in your life? If the answer is no - that's okay, submit this anyway and we will be in touch when there are spaces open in the future.(I do offer payment plans and even if we don't continue from here, we may still have a lot to speak about in this moment!) *
That's everything. Once you hit SUBMIT your interest will be submitted. From here we will be in touch via email with the retreat information package and audio. From there we'll organise a time to chat on the phone (which you can book in for here: https://calendly.com/wellsome/discoverycall ) and discuss your reservation. Beyond excited you're looking to join us! You'll LOVE this retreat. ❤️ Jem xx
Please save info@wellsome.com to your SAFE email list & address book so our mail doesn't slip into your Junk or Spam, that wouldn't be fun!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Wellsome. Report Abuse