Movement Into Bliss Maui 2025

RETREAT APPLICATION

First Name

Last Name

Phone Number

What is calling you to attend a Movement into Bliss?

Tell me about the transition you find yourself in. What is wanting to fall away? What are you ready to call in for yourself?

What do you think is your biggest obstacle to making the changes you want to make?

Do you have previous experience with subtle energy work?

While receiving frequency sessions, a lot can get stirred in the energy bodies. Are you currently experiencing any imbalances that we should be aware of?

Are you comfortable with physical activity? (Dancing, movement practices, hiking etc)

Do you have any physical limitations?

Do you have any dietary restrictions?

Are you capable with making this kind of financial investment?

Have you attended an event or worked with Dina before?

Yes

Do you have any questions, or is there anything else you would like to share about yourself? There are no wrong questions :)

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INVESTMENT FOR RETREAT $3,997

PAYMENT PLANS AVAILABLE

RETREAT APPLICATION

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