Retreat Questionnaire Elixir

Name *

Age *

Gender (Please select from dropdown) *

Phone *

Email *

Have you attended a Tantra workshop or retreat before? *

Briefly share your previous Tantra experience

What is your main intention for joining this retreat? *

Do you have any medical or mental health conditions we should be aware of? (Yes/No – If Yes, please specify) *

Have you experienced any significant trauma or emotional challenges in the past? (Yes/No – If yes, share what feels comfortable) *

How do you define your sexuality and current sexual life? (Briefly share in your own words) *

Your current relationship status *

Do you have any personal boundaries, fears, or expectations for this retreat? (Optional but recommended to share)