Pre-Retreat Intake Form — Blisspoint Retreat

Blisspoint Retreat

with Lisa de Narvaez


Six Senses Kaplankaya · Oct 14–18, 2026

Pre-Retreat Intake Form

To make the most of our time together, please take a few quiet minutes to reflect and share. Your answers will be held in confidence and will help Lisa prepare a truly personal experience for you.

00

A photo of yourself

So Lisa can connect your name to your face before you arrive — a warm welcome begins here.

Your photo
Tap to upload a photo
A clear, recent portrait works best

01

What is calling you to this retreat right now?

There are no wrong answers — trust what arises.

02

What would feel like a meaningful shift or outcome for you by the time you leave Kaplankaya?

03

Which areas of your life feel most in need of attention right now?

04

Have you experienced breathwork, somatic movement, or similar practices before?

05

Is there anything in your body, health, or wellbeing that Lisa should be aware of before the retreat?

E.g. injuries, chronic conditions, pregnancy, heart conditions, recent surgery, medications, or anything else relevant during breathwork or movement sessions.

06

Do you have any dietary requirements or allergies?

Six Senses sources organic, locally grown food. Please share anything the kitchen should know to care for you well.

07

What is one pattern — in thought, emotion, or behaviour — that you find yourself returning to, and would love to understand or release?

08

What is the highest vision for your life three years from now?

Let yourself dream beyond what feels immediately possible. What does a life fully aligned with your truth look and feel like?

09

Your birth details

Used for Human Design and astrological context to deepen the personal work we do together. Birth time is helpful but not essential — share what you know.

Date of birth
Time of birth (if known)
Place of birth — city & country

10

What are you most looking forward to about being at Six Senses Kaplankaya?

11

Is there anything else you would like Lisa to know about you, your life, or your hopes for this retreat?

This is your open space. Use it however feels true.

Your responses are confidential and shared only with Lisa.

Thank you for sharing so openly.

Lisa will review your form before the retreat.
We look forward to welcoming you to Kaplankaya.