🌹 Magic Woman Immersion – Participant Questionnaire

Beloved woman,we are honored that you are feeling the call and have chosen to step into this sacred space with us.

To help us prepare the container and support your journey in the most aligned and safe way, we kindly ask you to fill out the following form with openness and honesty.

This space is confidential, and everything you share will be held with care.

💫 Tell us about yourself

First name

Last name

E-Mail-Adress

Phone number

Date of birth

Day

Month

Year

Adress

Emergency Contact (Name)

Emergency Contact (Phone)

🌙 Your Journey Into the Feminine

What inspired you to join the Magic Woman Immersion? (What called you here at this time in your life? What are you longing for?)

Please tell us more about your experience with transformational, tantric, or intimate spaces. (e.g. inner work retreats, embodiment practices, temple nights, shadow work, therapy, plant medicine…)

Do you have any experiences with Yoni Eggs / Crystal Eggs?

Yes, I have a regular & deep practice

Yes, but very little experiences

Not yet

Other option

🌙 Your Readiness & Resources

Do you have any current physical, emotional, or psychological conditions we should be aware of? (Include anything diagnosed, as well as trauma, medications, injuries, sensitivities, etc.)

Are you currently pregnant, or is there a possibility that you might be?

Yes

Do you have any dietary restrictions, allergies, or sensitivities? (Please specify — e.g. vegan, allergies to nuts, etc.)

Do you have children? If yes, how many and what ages?

✨ Preparation & Tuning In

What is your intention or deepest longing for this journey? (What would feel truly nourishing to receive or remember?)

Is there anything you feel nervous or unsure about in joining this space? (Your honesty is welcome — this helps us hold you with care.)

✅ PARTICIPANT AGREEMENT & CONSENT

Please carefully read the Participant Acknowledgment & Agreement before submitting this form. It includes important information about your participation, your responsibilities, consent to media use, and our cancellation and liability policies.

You can find the full document here.

I have read, understood, and agree to the Participant Acknowledgment & Agreement. I confirm that I am participating voluntarily and am responsible for my own physical, mental, and emotional well-being. By checking the box and submitting this form, I confirm that this digital agreement is legally binding and equivalent to a handwritten signature.

This agreement is a requirement for participation in the Magic Woman Immersion. If you have any questions, please contact us before submitting your form.