Application for 1:1 Retreat with Rita pira
Use this application to apply for Rita to fly to you for a life transforming quantum leaping weekend (or week or two) in the comfort of your own home, or fly to her in Bali or wherever she is living at the time you apply! 
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If you want to quantum leap to the next level of you in every area of your life from your health - to what you do for a living and how much you earn - to your relationships - to how you think and speak about yourself...then a week with Rita will do the trick.

All of your dreams can become a reality just like, Dani, in the video below. Dani lived with Rita at a gorgeous Villa where not only did they achieve all of her goals (like discovering her purpose, deciding on next steps in her life when she felt very stuck around if she should move or not, and getting over a relationship) but they also healed her relationship with her father - something she didn’t even think about asking for help with because she felt it was a lost cause, and now Dani is pursuing her passion and purpose with her dad being an integral part of it! Dani is now living out all her dreams that were just that - dreams… after spending a week with Rita in Bali.
Hear all about it from Dani yourself below.

Use the form below to apply for a 1:1 retreat with Rita in Bali or have her come to you.

If you are interested in Rita's annual Empowered Feminine Retreat for women on November 24 to December 1st 2024, you can apply using this link: https://forms.gle/yxijqy6DnsFupCFi7 

What is your full name? *
What is your best email address? *
What is the best phone number to send you text messages or call you via WhatsApp? *
What is your instagram handle? *
What is your Human Design? 
Tell me all the details you know about your chart. If you don't know your design, type your birthdate, time you were born, and city you were born in or do that yourself to get your chart at myhumandesign.com and then enter your Type, Authority, Strategy, and Not Self Theme here
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How did you find Rita or come across this application? *
What are your motivations and aspirations for coming to the retreat?
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Where would you like to be more empowered, and what's stopping you? *
How would you describe your current level of authenticity and embodiment in your online expression on social media?
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What specific goals do you have that you'd like to achieve at this retreat?
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Is there any additional information or context you would like to share about yourself, your financial situation, or your readiness to embark on this mentorship journey?
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What are your dreams and passions in life? *
What are naturally good at that people ask you for help with or ask for advice about?
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What do you wish you could do with your life and make money doing? *
How do you ENVISION yourself showing up in your life and/or online?
What is stopping you?
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What is a big challenge that you have personally overcome? *You can list as many as you want *
What were the steps you took to overcome that challenge (or those challenges) and make that transformation? *
If there was one message you could share with the world, what would it be? *
Who do you feel you are here to serve? If this does not apply leave it blank. *
Do you take any medications? If so, please list: *
Do you drink alcohol or take recreational drugs? If so which ones and what is the frequency? *
Is there anything holding you back from loving and accepting your body?  *
What would you like to learn about your sexuality or femininity/feminine embodiment? *
Do you have any self-care or self-pleasure rituals? 
Answer Yes or No and explain.
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What subconscious limiting beliefs are you aware of that have blocked you in the past, or currently block you? *
Are you in a relationship? Do you have kids?
What do you wish was different?
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Are you currently working with any therapists, coaches, or healers? Please list them. *
Do you hold shame from anything in your life?
If you feel comfortable sharing details about it here, please do. I will keep it confidential. It will help me to understand what might be blocking your authentic self-expression. 
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Anything else you'd like to share that will help me understand you and your desires? *
Please secure your interview using this link 
Only 17 spots remain as of April 2024!
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