First, let's get a baseline for how you're feeling at this moment: *

I’m in great health

I’m pretty healthy

I’m doing ok

I'm ready to improve

How much of your potential do you feel you are currently living? *Pick from 0 to 10. 0 means Completely Disconnected and 10 means Fully Connected

How spiritually connected do you feel? *Pick from 0 to 10. 0 means Completely Disconnected and 10 means Fully Connected

How peaceful do you feel? *Pick from 0 to 10. 0 means Completely Disconnected and 10 means Fully Connected

When we feel connected to our sense of purpose, everything in life is easier. How connected do you feel to your purpose? *Pick from 0 to 10. 0 means Completely Disconnected and 10 means Fully Connected

How much love do you feel you have in your life? *Pick from 0 to 10. 0 means Extremely Unhealthy and 10 means Maximum Health Achieved

To help us do our best work, please take a moment to reflect and answer the following questions honestly and completely. This will help us understand whether or not we are the right fit to guide your healing and transformation. *

Sounds good

I'm not ready for that

Take 3 slow deep breathes...With a clear, calm mind, what is the true motivation behind your interest in a Retreat? *

How would you describe your quality of life right now? Stable, expanding, transitioning, upheaval? Please elaborate. *

And how are you feeling today? *

Are you currently suffering from any of the following mental health conditions? (dissociative disorder, bipolar disorder, schizophrenia or multiple personality disorder) *

Yes

No

Which all-inclusive Plant Medicine retreat are you most interested in? *

Ayahuasca in Costa Rica

Ayahuasca in Mexico

Ayahuasca in Portugal

5 MeO DMT / Bufo in Mexico

5 MeO DMT / Bufo in Portugal

Psilocybin in Costa Rica

Psilocybin in Portugal

Ayahuasca Eco-Retreat in Costa Rica

(Please note: Due to legal limitations, Behold does not offer any Plant Medicine Ceremonies or Retreats in the United States or Canada)

Have you taken any prescription medication within the last 6 months? If so please describe. *

Have you experienced any serious mental or physical health issues in the past 5 years? If so, please explain. *

Do you feel you may benefit from supportive mental and emotional work (coaching or therapy) to help you prepare for and integrate your retreat experience? *

Yes

No

I don't know yet

Would you prefer to attend a Small Group Retreat or a Private Retreat? *

Small Group Retreat

Fully Private Retreat

I’m not sure yet

Is there anything else that you would like us to know about you? *(Life situation, dietary requirements, specific needs, or preferences).

What is your first name? *(Sharing your last name is optional)

And your last name? Privacy and confidentiality are guaranteed.

What email is best to reach you? *

What mobile number is best to reach you? *

We will send you a message after we have reviewed your answers. How should we contact you? *

Phone (U.S. and Canada)

We will respond to you by text. If we don't hear a response from you within 1-2 days, would you like us to follow up on your application by phone to schedule a Discovery Call? *

Yes

No

Your Current Time Zone: *

When would you prefer to have a Discovery Call with one of our guides? *

If you are invited to a Behold Retreat are you willing to be respectful of all other guests and facilitators? *

Have you already reviewed our website for the dates, details, pricing, and inclusions of the retreats that you are interested in? *

YES, I understand the retreat prices ranges between $4,600 USD - $8,500 USD and I am ready to invest in myself

No, but I commit to doing so before our Discovery Call

Have you taken any prescription medication within the last 6 months? If so please describe. *

Have you experienced any serious mental or physical health issues in the past 5 years? If so, please explain. *

Would you prefer to attend a Small Group Retreat or a Private Retreat? *

Small Group Retreat

Fully Private Retreat

I’m not sure yet

What is your first name? *

And your last name? *

What email is best to reach you? *

What mobile number is best to reach you? *

Which platform do you prefer for text messaging? *

Phone (U.S. and Canada Only)

Are there any additional questions you have or anything else you would like us to know in the meantime? *

Application Submitted!