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Crystals And Sage

Healing Pathway Intake Page

Begin Your Healing Pathway

You don’t have to figure it all out alone.

Whether you’re feeling overwhelmed, disconnected, emotionally heavy, or simply unsure of where to begin, this is your starting place. At Ital Life Wellness, every journey is unique — and your healing path should be, too.

Complete the short form below and we will gently guide you toward the experience that best supports your body, your nervous system, and your emotional landscape. This may be a private session, a class, or a personalized retreat — whatever fits where you are right now. There’s no pressure and no wrong answers. Just clarity, support, and a tailored recommendation designed for you.

We will respond within 24–48 hours with a suggested healing plan and next steps.

SECTION 1 — ABOUT YOU

Are you seeking support in-person, online, or both?
In-person (Playa del Carmen)
Online / Virtual
Both / Not sure yet

SECTION 2 — YOUR CURRENT STATE

How is your body feeling lately?(select all that apply)
How are you feeling emotionally?(select all that apply)

SECTION 3 — WHAT YOU’RE SEEKING

What type of support are you hoping for? (select all that apply)

SECTION 4 — YOUR PREFERRED EXPERIENCE

Which types of healing experiences feel aligned with you? (select all that apply)

SECTION 5 — PACE & STYLE

Which pace feels most supportive?
Gentle and grounding
Slow and introspective
Balanced and supportive
Transformative and deep
I’m not sure — guide me
Do you prefer structure or fluid guidance?
I want a structured plan
I prefer intuitive, flexible support
A blend of both

SECTION 6 — LOGISTICS & ACCESSIBILITY

What is your preferred timeline for beginning support?
As soon as possible
Within 1–2 weeks
Within 30 days
Just exploring options
Are you currently receiving medical or mental-health care?
Yes
No

SECTION 7 — BUDGET & COMMITMENT LEVEL

What is your approximate budget for support in USD? (This helps us suggest the right pathway: digital, sessions, retreat, or wellness plan.)
Under $100
$100–$300
$300–$600
$600–$1,500
$1,500–$3,000
$3,000+
Flexible depending on what’s recommended
What kind of commitment feels possible for you right now?
One-time session
A short-term plan (1–2 weeks)
A structured 21-day wellness plan
A structured 6-week wellness plan
Ongoing support
A private retreat
I’m not sure yet

SECTION 8 — FINAL NOTES

I understand that all sessions, digital tools, recommendations, and wellness plans offered by Ital Life Wellness are holistic and supportive in nature and not a substitute for medical or psychological care. I participate voluntarily, have shared relevant information to the best of my ability, and release Ital Life Wellness and its facilitators from liability for any injuries or unexpected reactions that may arise.

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