Section I

Personal Information

First Name *

Last Name *

Date of Birth *

Country of Residence *

E-mail Address *

Phone (with country code) *

Emergency Contact

Full Name *

Relationship *

Phone (with country code) *

Section II

Your Intention & Inner Landscape

These questions help us understand where you are in your life and how to hold space for you most effectively. Please be as specific and honest as you can — thoughtful, detailed responses are deeply valued.

Your primary intention for this ceremony *

What are you willing to give up, change, or let go of for what you are seeking here? *

Most significant challenge in your life over the past year

Grief, significant loss, or major life transition?

Most transformative moment of your life so far

What do you fear?

What brings you joy?

Greatest aspiration for your life *

Do you embrace or practice a spiritual path, tradition, or religion? *

What does "ceremony" or "sacred ritual" mean to you personally? *

Experience with non-ordinary states of consciousness *

What have you begun and not completed in your contemplative, therapeutic, or inner life — and what do you understand about that?

Experience with therapy, coaching, or self-exploration *

Describe one specific pattern in yourself you have noticed recently — not analysed, simply observed. *

Why did you choose to do this work specifically with us? *

Section III

Life Situation & Integration Capacity

Are you in a stable life situation with support systems available? *

Anything significant happening in your outer life right now?

Behavioral or substance addictions, past or present? *

Preparation commitment *

In the 30 days before the ceremony, are you willing to minimise alcohol, cannabis, stimulants, and recreational substances to support your sensitivity and preparation?

Yes Yes, and I have questions No / unsure — I'd like to talk

Section V

Travel & Physical Readiness

Peru involves travel, altitude (Cusco sits at ~3,400m), and extended time in nature. These questions help us prepare well for you.

Have you travelled in developing countries before? *

Travel health & vaccinations *

Physical fitness & mobility *

Special assistance, accessibility, or dietary needs *

Section VI

Practical & Logistical

How did you hear about this retreat?

Personal recommendation Website / social media Other

If approved, I would like to: *

Deposit

€800

to secure my place

Pay in Full

€2,400

Early Bird

Pay in Full

€2,600

Standard

Section VII

Anything Else

Is there anything else you want or need us to know?

Declaration

By submitting this form, I affirm that all responses are honest and complete, and that I have not omitted any information that could be relevant to my safety or the integrity of the space.

I understand that this work asks for genuine self-responsibility, and I commit to showing up with that intention — in my preparation, during the ceremony, and in my integration afterward.

I agree to inform Turiyosho and Kannon of any changes to my health or medication status between the submission of this form and the date of the retreat.

All my answers are honest and complete to the best of my knowledge.

I take personal responsibility for my participation and will follow the preparation guidelines provided.

I will notify Turiyosho and Kannon if my health or medication status changes before the retreat.

I understand this form is strictly confidential and will only be read by Turiyosho and Kannon.

You will receive a personal response within 5–7 days.

Something went wrong. Please try again, or email us at mail@turiyosho.net.

Application Questionnaire