Aligned Living - Private Work with Amanda 
Brew a cozy cup of tea and give yourself 10–15 minutes to reflect and share. Everything you share is confidential. This isn't about saying the “right” things, it's simply a chance for us to get a clearer sense of where you are, what you're seeking, and whether we're well-suited to walk together in this season. I'm here to help you gain clarity. 
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Email *
Full Name, Age, & Whatsapp # (optional) -
For Contact Info- please specify whether you'd like to be contacted by email with text only or WhatsApp for short voice memos and text.  (*optional, can provide a more robust experience in connecting) 
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What are some things you are most proud of in your life? Please boast and brag! We want to celebrate you and your accomplishments  *
Have you worked with any kind of self-help coach before?  AND - Are you yourself a coach or space-holder of any kind? In a helping profession? *
Have you experienced any kind of energy work, shadow work or work in altered states of consciousness before? Please specify. (If you are unsure, it's totally ok- please say so.)  *
What are your main physical concerns or health challenges?  *
What are your main life challenges? (non-health concerns)  *
What is going well with your health and body right now? *
What is going well in your life right now?
What is your vocation? What is work schedule like?  *
What are your stress-levels like currently? How do you deal with stress when it comes? *
Do you have any kind of spiritual (or mindfulness or stillness) practice?  *
What is your home/ family (kids, partners, pets) life like? What is your support system like? *
Any healers, helpers, modalities, or therapies with which you are involved? What does self-care mean to you? 
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How is your sleep? How many hours? Do you wake up at night? Why?
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Female: are your periods regular? Painful or symptomatic? Please specify if peri-menopausal or post-menopause. 
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What's a day in the life? Breakfast, lunch, dinner, snacks? How often do you cook/ week?
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Any past surgeries, illnesses, accidents? Any diagnoses, past or present? 
Do you crave sugar, coffee, cigarettes, or have any addictions?
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How is your hydration? How much water are you drinking each day?
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How often do you eliminate? (Yes, a have a bowel movement)
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What role does body movement or physical activity play in your life?
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The most important thing I should do to improve my health is....
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How ready, willing, committed, and/or excited are you to embark on a transformative journey?  *
Are you ready to uplevel and invest a significant sum in your physical, mental, emotional, relational, financial, and spiritual health & well-being?  (Depending on the level of support, private programs are between 2-4k/mo - payment plans available.)  *
Anything else you would like to share with me?
Thank you for your time on this application!
Expect a response via email or Whatsapp within five business days. 
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