Intake form: Somatic Life Mentoring
My phone number in case you need to reach me: 303-921-2152. Call or text.

If meeting in person, I will send you the address.

If we are meeting on Zoom, please click "join" and enter my zoom number, which is the same as my phone number: 303-921-2152.
https://zoom.us/j/3039212152

Life Mentoring Sessions run 45-60 minutes and cost is $150 per session.
I highly recommended that we engage in 4 sessions (at a 25% discount, $450 total)
* I understand the challenges of life, so I offer a sliding scale. Please ask for what you need. This is a judgement-free zone.

Cancelation policy:
I aim to be a reasonable person, and believe that you are too! Of course unexpected things happen, and we have to ensure both of us are taken care of. Please do your best to give me 24 hours notice for a cancellation. Last minute cancellations or missed appointments I will need to charge for.

Email address *
Thank you for choosing to work with me. In our sessions, I hope to form a partnership with you that is supportive to your process. Phoenix Rising Life Mentoring allows for a transformative process through connecting mind and body, and maintaining that connection while witnessing and supporting your process of discovery. To facilitate the process, we use dialogue while exploring postures and movements, seeking "edges" of sensation or lack of sensation to explore the wisdom within you. We will determine actionable steps to commit to continual work. We will check in on progress. Our work together is at the intersection of the physical to the psycho-emotional-spiritual.
Kristen Boyle, PRYT, E-RYT500
Please dress comfortably, in clothes of the proper warmth and mobility for us to do work standing, seated or on the floor as appropriate. If we are doing an online session, please make sure your audio is working, and that you can place your camera in a location where I can see most of your body.
Date *
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Name *
Your answer
Address *
Your answer
Phone *
Your answer
The usual questions: Age / Height / Weight *
Your answer
Occupation *
Your answer
What time did you wake up this morning?
Your answer
How did you hear about my practice?
Your answer
Sit tall, soften your gaze or close your eyes. Take a few deep breaths. Place one hand over your heart, and from this inwardly focused place, ask yourself, what is your intention for our work together?
Your answer
Have you recently received or do you regularly receive body or energy work? (massage, acupuncture, physical therapy, Reiki, etc.)
Your answer
Describe your beautiful body.
Your answer
What do you do to move your body? How does moving your body affect you?
Your answer
What is your experience in Yoga and/or meditation?
Your answer
Describe your personal support system (i.e. family, friends, health care providers, groups)
Your answer
Describe your home environment. Does it feel healing and supportive?
Your answer
Describe your work environment.
Your answer
How is your relationship to your self?
Your answer
Please list anything (physical, mental, emotional, psychological, or spiritual) that you would like me to know.
Your answer
Who is your health and wellness team? (psychotherapist, chiropractor, acupuncturist, allopathic physician, homeopathic or naturopathic physician, physical therapist, spiritual advisor, etc.)
Your answer
Please list any medical conditions, prescription or non-prescription medication, herbs, surgeries, injuries, or chronic conditions that you feel I need to know about.
Your answer
Please list any allergies I should be aware of (pets, essential oils, cleaning products or materials) (N/A for online sessions)
Your answer
Is there anything else you would like me to know before we begin our work?
Your answer
Finally, do you consent to working with me, using mindfulness, somatic awareness, and physical shapes, to explore and bring awareness to your life? And do you understand that there is a learning curve to doing this type of work, so a minimum of 4 sessions is recommended? (We can talk more in our session)
A copy of your responses will be emailed to the address you provided.
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