Customize your Signature Solo Retreat

Thank you for choosing to embark on this personal journey with us. To help us create a meaningful, nourishing experience tailored just for you, please take a few moments to complete this intake form. Your responses will remain confidential and will guide us in supporting your intentions, preferences, and well-being throughout your stay.

There are no right or wrong answers — simply share what feels true for you. We’re honored to hold space for your retreat.

First Name *

Last Name *

Phone *

Email *

Which Retreat are you interested in? *

When would you like to schedule your Solo Retreat? *

What is the main intention behind this retreat? *

What are you looking for?

Are you interested in any specific practices? *

What level of structure are you looking for? *

What is your usual daily rythm? *

(Early riser, night owl, naps, meals at certain times, etc.)

Dietary Needs / Preferences *

Sensitivities or Boundaries *

(e.g., fragrance sensitivities, trauma triggers, cultural or religious considerations)

Have you ever taken part in medicinal experiences? *

Anything else you need to feel supported?

By checking this box, I consent to receive non-marketing text messages from Hidden Leaf Baja. Message frequency varies; message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others, from Hidden Leaf Baja at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.