Plant Medicine Ceremonies in Lisbon, Portugal

A curated, private ceremony for you or a small group

Thank you for your interest in this work. Please fill out the form to make your request for a ceremony and for us to see if this is a suitable match for you and your needs. For more information, please email erica@bhavaniyogamassage.com

Name *

Email Address *

Confirm email address *

Country of Residence

Phone

Gender *

Age *

Which type of personal ceremony are you interested in? *Private plant medicine ceremonyPsilocybin & bodywork session

Do you have a history of psychological or medical conditions? *

Are you currently experiencing any psychological or medical conditions? *

Are you currently taking any prescribed medications or being treated by a therapist or a physician? *

Have you had any surgeries or given birth in the past year? *

Are you currently pregnant, and if so, which trimester? *

Do you have any allergies or sensitivities to scents, oils, or smoke (ie. incense)? *

Do you currently partake in drugs recreationally, including cannabis/alcohol? If so, please describe your average intake. *

Do you have experience with psychedelics? If so, please briefly share how you felt about your overall experience. *

Do you use any self-care tools (like meditation, yoga, sport, breathing techniques etc)? If yes, what are they?

What is your calling, intention or purpose to join this ceremony?

Do you have anything else you would like to share with us?

I confirm that I am not experience any of the conditions stated below (please mark all that you are not experiencing): *PregnancySchizophreniaBorderline personality disorderBipolar disorderPsychosis susceptibility syndrome (or history of psychosis)Severe blood pressure / heart complaints

I am aware that participation in a ceremony is my own responsibility. I confirm that the information on this form is correct to the best of my knowledge. I will adhere to the safety regulations specified by the guide; I will not leave the ceremony room/site without permission from the ceremony leader, as long as I am under the influence of the plant medicines. *Yes

Privacy Policy

Your privacy is important to me. Know that your personal details are kept in confidence and secure. Your details will not be shared with third parties, including your email address, unless you have given consent. For example, for the Telegram group, I will send monthly communication emails about future events and classes, if you choose to receive them. You can unsubscribe to these at any time from the email or inform me if you prefer to be kept off this list.

Bhavani Thai Massage & Integrative Bodywork

A curated, private ceremony for you or a small group

Privacy Policy