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Worksheet

Book a private transformational retreat with Chalisa Morrison...

Please fill out the form below to inquire about booking a private retreat with Chalisa Morrison to thrive in life and love; customised to your unique needs.

While I would love to be able to offer every person in the world an opportunity to work with me privately in a transformational retreat setting, this is simply not possible.

My 5 star beautiful retreat setting is located in Torquay, on Victoria's picturesque Surfcoast on the iconic Great Ocean Road.  My acre property provides all that you need to connect in nature for a value packed transformational journey including a sauna, outside fire, hot tub as well as abundant resting places to integrate in beautiful gardens or under the Bali Hut. 

I offer a limited number of private retreats each year to couples and individuals - know that I do read each application carefully, and I personally reply to everyone who takes the time to complete my online form.

I only take on a certain number of clients at any given time to ensure that I can provide a high level of comprehensive support to those individuals or couples I work with.  If I can't support you immediately, that doesn't mean that I won't support you in the future.

Please know that your privacy is important to me and I will treat your confidential information with great care and respect.

Thanks for your patience and I look forward to supporting you.

Kindness and respect,

Chalisa


1. ➜

Date

2. ➜

Name

3. ➜

Email

4. ➜

Phone

5. ➜

Please tick whether you are applying as an individual or couple

6. ➜

Which private retreat are your interested in

7. ➜

Partner's name - if applying as couple

8. ➜

Partner's email - if applying as couple

9. ➜

Please tick that you understand:

10. ➜

What kind of retreat are you looking for?

Everyone has different needs and preferences; we have a private retreat space where I run retreats as well as rent the space out for private personal retreat time. 

-> Some people prefer a softer style retreat where they have 1 transformational session a day with more time to do as they please and other people prefer a more structured transformational approach with more sessions

 

11. ➜

Tick the relevant areas that best match what you are looking for:

12. ➜

Please tick your preferred retreat option

13. ➜

When is your ideal timing to book in a private weekend retreat with Chalisa?

Share any thoughts you may have, including several options over the next few months that you're available:

14. ➜

Please describe your top 5 challenges that your are currently experiencing:

15. ➜

If you were to work with Chalisa during a transformaitonal retreat, what would be an amazing outcome?

16. ➜

Have you completed any of Chalisa's online 'Love Me Up' programs?

17. ➜

Have you previously worked with me privately?

If you have previously worked with me, please advise: when you worked with me, approximately how many sessions and briefly what was most beneficial to you (or your relationship):


18. ➜

If you have ticked 'yes' above, please tick which online programs you have completed / started:

19. ➜

Are you willing to:

20. ➜

How would you like your food to be catered for?

Everyone has different food preferences. 

-> The retreat space has a fridge, microwave, kettle, toaster and sandwhich press

21. ➜

Can you afford to attend a private retreat with me?

The investment for my popular Transformational weekend couples retreat is $6750 per couple (includes all sessions, gourmet meals and extra's)


22. ➜

How much notice do you need before being able to attend a weekend retreat with Chalisa ?

Please also include where you are located

23. ➜

Are you a student, unemployed or on sickness leave?

24. ➜

Is their anything else you want to say or want me to know?

25. ➜

What is your preferred way to be contacted?

26. ➜

I would love to hear about how you heard about me and my work (if you can spare the time)