You heard the call, and now we’re only a few steps away from your journey inward… Name * First Name Last Name Email * Whatsapp * Country (###) ### #### Your location / desired location for the session * Approximate date for your session * MM DD YYYY Offerings interested in * Please select all the ones you would like information on. Heart Protocol™ Medicine Ceremony Amor Ágape Medicine Ceremony Integration & Therapy Sessions What is the main reason you feel called to this experience? * Do you have experience with psychedelic medicines? * Yes / No - Please share briefly Are you currently taking any medications? * (Yes / No / If yes, specify name, dosage, and purpose.) Are you currently under treatment for any medical or psychological conditions? * (Yes / No / Optional space to explain) Do you currently use any substances (alcohol, tobacco, recreational drugs)? * Always Frequently Sometimes Never Are you willing to prepare for your session with a minimum of three days of sobriety, clean eating, and presence? * Yes, I can commit to this No Are you open to receiving whatever the experience reveals — even if it feels unexpected or challenging? * Yes No This work requires deep personal responsibility. Are you committed to showing up for yourself fully? * Yes No If granted a spot, will you be willing to invest financially in making this experience possible? * Heart Protocol - $1400 Amor Agape - $1111 Integration / Therapy Sessions - Start at $222 *prices are in USD. If you feel deeply called to this work but are currently unable to commit to the full payment, you are welcome to share your situation below. I am open to exploring accessible solutions when there is genuine alignment. Thank you! These questions allow me to feel your intention, and prepare the space for your journey.
