The BODY 5D >> Purify, Cleanse 4 week detox
Name (First / Last)
What are you most curious about?
Clearing emotions, new ways to express, embody authenticity
Learn chakras, energy centers and how to balance
Dynamic breath / movement practices to harmonize my emotions/energy
Learning about detoxing, cleansing the body
Doing the 3 day juice FEAST (fast)
How to cultivate my energy, and feel, lighter more free in my body
All of the above!
What is the biggest motivating factor for your growth and transformation right now?
Do you have any injuries or restrictions I should know about?
Do you currently have a meditation practice?
I've never meditated, but interested
I've tried, and struggled with it, but I'm open
I meditate a little each day
I am the all knowing buddha
How long have you had a yoga practice?
I don't have one, and I'm not interested
I don't have one, but I'm looking to build mine
1 - 3 years of practice
4 - 7 years
10 + years
I have a practice, but fell off a bit, I'm looking to build it back up
How good/healthy are your eating habits?
I'll eat anything I don't care
I eat a little meat, veggies, and some fish
I eat mostly veggies and occasional fish
I'm all raw
Do you feel connected to 'god', 'higher self' or spirit?
I know that I'm connected, but I don't necessarily feel it
I've experienced moments of connection
I connect daily
I can't turn this shit off, its hard to be in my body
I am god
How do you think The BODY 5D will support your growth?
What do you think will serve your highest self and goals right now?
Intermediate level (4 weeks) - Emotional/Energetic clearing, Nutrition/fasting
Advanced level (3 weeks) - Sacred sexuality, Intimacy/pleasure/partnership
Both Intermediate & Advanced levels (7 weeks)
Who do you want to be when this program is complete?
Would you like to hop on a FREE call with Natalie to discuss further?
I look forward to reading your responses. I will get back with you to discuss asap. Thank you so much for the time and intention you put into this application. In Gratitude, love Natalie Pierson
A copy of your responses will be emailed to the address you provided.
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