Name
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First Name
Last Name
Email
*
Phone
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Country
(###)
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Are you currently located in the U.S. or abroad?
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What draws you to a self care and spiritual wellness retreat in Ghana?
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Have you ever traveled internationally before?
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Yes
No
Not yet, and I’m ready!
What areas of wellness are you most interested in deepening during the retreat? (select all that apply)
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Do you prefer shared accommodations or a private room (if available)?
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I want to make new connections and am open to a shared accommodation
I prefer a private room
I am open to either
Ideal time of year for travel (select all that apply)
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What is your ideal retreat duration?
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5 days
7 days
10+ days
I’m open to any length
What is your estimated budget for a full retreat experience (excluding flights)
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Under $2,000
$2,000 - $2,499
$2,500 - $2,999
$3,000+
How likely are you to attend this retreat if all aligns?
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I'm ready when you are – let's go!
I’d need at least 6 months
I’d need at least 9 months
I’d need about a year to plan, save, or arrange time off
Are you interested in a payment plan?
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Yes
No
Possibly, depending on cost
Do you have any dietary preferences or restrictions?
*
Anything else you’d like us to know about your interest, needs, or intentions for this retreat?
Thank you for your interest in our 2026 Self-Care & Spiritual Wellness Retreat!
Your feedback is invaluable in helping us create a meaningful, well-rounded experience—and ensuring our intentions are fully aligned with the needs of our community.
Be sure to subscribe to our newsletter to stay updated on retreat announcements and exclusive offerings. And as a thank you for completing this form, you’ll receive priority access when booking opens!
We’re so excited to co-create this journey with you.
With Gratitude,The Love Through Lotus Team
