Welcome

Thank you for taking the time to complete this questionnaire. It is not intended to evaluate you. It simply allows us to get to know you better, prepare the workshop with care, and ensure that Forgotten Territories corresponds to your journey and your intentions.

Everything you share will remain strictly confidential.

If you are registering as a couple, please complete one questionnaire per participant.

About You

First Name *

Last Name *

Gender (if you wish to specify)

Phone *

Email *

Your Registration

I am attending alone I am attending with my partner

Partner's name

Your Journey

What experience do you have with Tantra and meditation?

What workshops, retreats or trainings have you attended?

What is your experience with tantric massage, as a receiver and as a giver?

Which body-based or somatic practices are part of your life (e.g. other forms of massage, yoga, conscious dance, somatic practices, breathwork, tai chi, etc.)?

Your Intention

What is calling you towards Forgotten Territories? What would you like to discover, deepen or transform?

Your Relationship with Your Body

How would you describe your relationship with your body today? Is there anything about your relationship with touch or intimacy that you would like us to know? Any traumatic experience that you're struggling with?

Health

Do you have any injury, physical limitation or medical condition we should be aware of? Are you currently following any medical or therapeutic treatment that may influence your participation?

Once we receive your questionnaire, we will contact you to arrange a short phone conversation. This conversation allows us to answer your questions, get to know each other, and ensure that Forgotten Territories is the right workshop for you.

We look forward to meeting you.

Sandrine & Bruno

Date & Signature

Date *

Signature * — sign with your finger or mouse below

* required fields