Private Session Application
Hello and thank you for your interest in working with me!

The first step to booking a private session with me is to fill out the questions below, so that we can arrange a FREE 20 minute Discovery Call! In the call, we'll dive deep into your hopes and dreams.

So I can serve you to the best of my ability, please include below any significant physical or mental health issues, including if you are under the care of a medical practitioners, psychiatrists or similar.

I look forward to receiving your replies.

- Natalie

Email address *
First Name *
Your answer
Last Name *
Your answer
Contact Number *
Your answer
How did you first learn about Natalie's work? (If via recommendation, please give the person's name) *
Your answer
Why are you drawn to working specifically with Natalie? *
Your answer
Which type of session are you most interested in booking? *
Hopes & Dreams
What area of your life would you like our sessions to look at? *
Your answer
What bothers you most about it? *
Your answer
If you imagine the absolute best outcome for this area of your life, how would it look? What would be different? *
Your answer
How would you feel? *
Your answer
How committed are you to making this happen? *
Have you worked with a coach or therapist on similar issues? If so, what was the outcome? *
Your answer
Your Background
Please share any relevant / significant life events, such as: any trauma, abuse or addictions you've experienced and/or recent deaths, break-ups or other emotional stress… *
Your answer
Any medical conditions or medication? Please include mental health, psychotic episodes, anything relating to lungs (including asthma), heart, major organs or that restricts your mobility. *
Your answer
Any serious allergies? Please note: I use a coconut oil and almond oil mix for massage and cats live on the premises. *
Your answer
What forms of personal growth work have you done in your life? (counselling, therapy, seminars, yoga, tantra, shamanic work, breath work, other…) *
Your answer
As someone who has expressed interest in working with me, you will receive my (infrequent) newsletter, Empowered Healing, from which you can unsubscribe at any time.
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