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Before we confirm participants we ask everybody to answer a few questions just to ensure we are a good fit for each other, that we understand a little bit more about you and your needs. We will then invite you to have a 15min conversation on Skype so we can both get to know each other a little which is of course very important for both you and us embarking on such a journey together. This gives you a chance also to feel if we are a good fit for you and if we are people you would like to connect with in this way.

    First Name:*
    Last Name:*
    Phone Number*
    When is your birthday? (The year matters so we can make sure you are over the age of 18.)*
    Which retreat are you interested in?*
    Tell us a bit about yourself. Where do you live? What do you love?*
    Is this going to be your first psychedelic experience?* YesNo
    Tell us about your experience with related practices (such as meditation, breath work, sound healing, dance, yoga, time spent in the wild or inner self-reflection)*
    Tell us about any past or present mental health conditions (including depression,psychosis, anxiety and PTSD) or relevant life events.*

    Are you using any medication? If yes, please provide the name, dosage, frequency of use,as well as details of the condition that is being treated. Please note that you need to be off any SSRI medication 2 weeks before the start of the retreat. *
    Do you have suicidal thoughts? If so how often and how recently? Please also note if and when you have had an attempted suicide. *
    What is your intention for the Retreat? What shift in your life would you like to experience?
    Are you interested in a private (6.200 Euro) or a shared double room (4,600 Euro)?*
    Will you pay in full or do you prefer monthly payments?*
    Which time zone are you in and what times would work best for you/do not work for you?
    How did you hear about us?*

    We will be in touch very soon.

    A WHOLE NEW HIGH is a whole new perspective on how we perceive, use and administer entheogens which are drugs, psychedelics and power plants, to induce ‘non-ordinary’ states of consciousness to encourage emotional and physical well-being.

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