WITHIN Application
First + Last Name *
Your answer
Email Address *
Your answer
Phone Number (with country code) *
Your answer
Country of Residence *
Your answer
What brings you here to take this journey within together? *
Your answer
What fears and/or desires come up for you as you think about going within? *
Your answer
Have you worked with a therapist, healer, or coach before? If so, what was your experience? What did you like / dislike? *
Your answer
What kind of support do you feel you need the most right now? *
Your answer
What is the most miraculous thing that could happen for you as a result of going within? *
Your answer
When would you like to embark on this journey together? *
Your answer
Is there anything else you'd like to share? *
Your answer
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