Recalibration Retreat - Discovery Call Questionnaire

You’re exploring whether the Recalibration Retreat is right for you. From October 24–29, 2026, you’ll be fully cared for at Verdesana in Costa Rica, a luxury jungle setting designed for deep restoration. For one week, you’ll step away from what’s draining you and reconnect with what matters. Before we connect, we’d love to learn more about you. These questions are simply an invitation to honest reflection.

Full Name *

Email *

Phone *

Location (City, State, Country) *

What's drawing you to this retreat? (2-3 sentences) *

Which of these best describes where you are? (Select all that apply) *

Advancing to a new position or level of responsibility

Navigating a high-stakes situation (merger, restructure, crisis, transition)

Leaving a role or pivoting to something new

Rebuilding after burnout or significant challenge

Seeking to reconnect with myself beneath the title and demands

Ready to reshape what I'm carrying and who I'm becoming

Can you commit to the full retreat dates (October 24-29, 2026)? *

Yes, I can commit to all dates
I need to confirm availability first
No, I have conflicts during these dates
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Note: Full attendance is required for cohort integrity

This retreat requires participation in group sessions (writing, sharing, practicing boundaries with others). How do you feel about that? *

Why now? What makes this the right (or necessary) moment for you? *

How did you hear about this retreat?

Google/Web search
Instagram
LinkedIn
Facebook
Referral
Jessica's email list
Podcast or interview
Other
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If you selected referral please list the name of the person who referred you. If you selected other please specify below:

Investment ranges from $4,499-$6,499 based on room choice. Payment plans are available. Is this investment feasible for you? *

Yes, this is within my budget
Yes, with a payment plan
I need to review my budget first
This is outside my current range
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Note: We'll discuss pricing details and payment options on our call

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