Whole Woman Reset ~ application form (1st wave)

Welcome, we’re so glad you’re here.

We created Whole Woman Reset for women ready to stop firefighting symptoms and start healing their whole selves: physically, hormonally, emotionally and energetically.

Led by Helen Driver (Certified Mindset Coach and EFT Practitioner) and Dr Heather Robinson (Qualified Naturopathic Doctor), this immersive programme bridges the gap between physical and emotional wellness.

No more juggling practitioners or repeating your story. We work as a team, tailoring a plan that blends nutrition, supplementation, mindset coaching, somatic techniques, emotional healing and personal growth practices. By addressing both the physical and emotional roots, from hormonal shifts, gut health, stress, fear, grief, to experiences stored in the nervous system, your whole self is supported to reset, heal and thrive.

We only work with a small handful of clients at one time to give you the care and attention you truly deserve. 

This application form is your chance to share your story and for us to see if we’re the right fit to walk this journey with you. If we feel another approach would serve you better, we’ll guide you in that direction.

✸ First wave bonus

Apply by Wednesday 17 June 2026 and receive a complimentary 30 minute strategy session with Helen and Heather, halfway through your journey.

(UK clients only. All answers remain confidential unless required for your safety.)

Let's get started!

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Name *
E-mail address *
Location (city / country) *
Lifestyle Snapshot & Intentions
Please share a brief overview of your current lifestyle (sleep, stress, physical health, diet, movement, environment, emotional wellbeing, inner peace, relationships). Tell us what feels in balance, what you’d like to improve, and your main reasons for joining the Whole Woman Reset. *
What are your current health concerns or diagnoses, if you feel comfortable sharing (physical and / or emotional)?
Have you worked with a coach, therapist, or naturopath before? What was helpful and what wasn’t? *
What has been the greatest challenge in your journey to better health and wellbeing?
 *

Any history of significant trauma you feel comfortable sharing that may impact your experience?

Current symptoms that feel most pressing *
Required
Are you interested in functional medicine testing (blood work, DUTCH, comprehensive stool analysis, OAT, SIBO etc.)? *
Would you like to enhance your journey with optional add-on heart-centred sessions, such as cacao or sound healing with Helen? Explore more here> *
Are you open to investing in supplements in addition to your Whole Woman Reset journey? *
Are you comfortable working with both practitioners collaboratively (Helen and Heather sharing notes and insights for your care)? *
Required
Are you able to commit to attending all sessions and actively engaging with the process over 3-6 months?
 *
Required
What do you hope to feel or experience by the end of the programme? *
What excites you most about this mind-body-spirit approach? *
Do you have any hesitations about taking this next step in your health and wellbeing journey?
 *
Why is now the time for a Whole Woman Reset?
Programme investment options
Which payment plan would work best for you? If you’re ready to commit but finances are tight, we can discuss a payment plan on a case-by-case basis. If you’d like to explore this, please select “Other” and let us know what would support you best right now. *
Is there anything else you would like us to know as part of your application form? 
Congratulations!

Thank you for completing your application. We truly appreciate your time and honesty. We’ll be reviewing all submissions and will be in touch as soon as possible.

If you have any questions in the meantime, please don’t hesitate to reach out to either of us using the contact details below.

In light and health,
Helen & Heather

For more information
Helen: helen@therisingspace.co.uk
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