Skip to main content

Sattvaya Contact


Reservation form


Signing up and booking Healing & Plant Medicine retreat

Do you want to have an unforgettable experience? Then book your place right away by filling in the form below. Upon receipt, you will automatically receive a message from us confirming your registration. We will then contact you as soon as possible to confirm your participation, and if necessary we will go through the information with you personally.

Are you interested in participating but still have questions or doubts. Then sign up via our registration form. 


Explanation of the questionnaire

For the safety of (all) our participants, we feel it is important to gather some background information, regarding everyone's current situation We do this to determine for all participants whether we feel it is safe and responsible to experience this deep experience, and to be able to support everyone in the best possible way (during the inner-journey).

Personal details

We keep your data carefully and only for our own use and absolutely not shared with other parties!

Please type your full name.
Please type your full name.
Please type your full name.
Invalid email address.
Invalid Input
Please type your full name.
/ / Invalid Input
Invalid Input
Invalid Input
Would you like to subscribe to our newsletter?
Invalid Input

Retreat Reservation

I would like to sign up for the retreat of (more options possible):



Invalid Input

Personal Motivation and Situation

Invalid Input
Invalid Input
Invalid Input
Invalid Input

Mental Health

Invalid Input
Have you currently or previously experienced any of the following mental health problems? Multiple answers possible





Invalid Input
Invalid Input
Do you have family members where there are (have been) serious mental health problems? Please tick the option(s) that apply


Invalid Input
Invalid Input
Are you currently under treatment for psychological well-being? Multiple choices possible


Invalid Input
Invalid Input
Are you currently taking medication for psychological well-being? Multiple choices possible


Invalid Input
Invalid Input
Invalid Input

Physical Health

Invalid Input
Do you suffer from any of the following specific physical conditions?




Invalid Input
Invalid Input
Do you currently use prescription medication or alternative medicines for your physical health?


Invalid Input
Invalid Input

Additional questions

Invalid Input
Invalid Input
Invalid Input
Invalid Input

I have completed all the questions truthfully and accept the terms and conditions of Sattvaya

Invalid Input
Invalid Input

Thanks for filling in! More information on preparation can be found on the following page: Preparation Ceremonies

As mentioned before: don't worry about your personal data. These are absolutely safe and secure with us, and are only used by us and for this purpose!

© Sattvaya 2025 - All rights reserved