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Application for 1:1 Sacred Body Reset with Lila
"Forget the past that sleeps, and ne'er the future dream at all, but act in times that are with thee and progress ye shall call."  -Bhaktivinode Thakur
Contact Information
Name *
Email Address *
Phone number *
Time Zone *
How did you hear about me?
Schedule Availability
What days are you available for sessions? *
Required
What time do you prefer to meet? *
Preferred session frequency? *
Current Life Context
In a short paragraph, describe your current situation. *
What feels most overwhelming, or where do you feel stuck? *
Areas of Support
Which areas do you want support with? *
Required
Of the areas selected above, which ONE feels most urgent right now, and why? *
If our work together is successful, what would be different in your life six months from now? *
How would that change how you show up for yourself, your family or your work? *
What do you feel is being asked of you in this current season of life? *
Readiness & Responsibility
What fears or resistance come up when you imagine deep personal change? *
What do you feel has been holding you back from fully committing until now? *
Past Support Experience
Have you worked with a coach, therapist, or mentor before? *
If yes, what worked well?
What didn't work so well?
What do you want to do differently this time?
Commitment & Capacity
Are you willing to prioritize time, presence, and honest self-reflection? *
Are you prepared to invest physically, emotionally, energetically and spiritually in yourself? *
Final Reflection
Why do you feel drawn to working with me specifically? *
Is there anything else you feel I should know about you?
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