1:1 coaching application
let's make sure this will be a good fit for both of us! 
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Email *
Name: *
where did you see or hear about me?  *
what best describes your situation? 
Clear selection
can you tell me about what you have tried in the past to heal, if anything? (traditional therapy, somatic healing, any other modalities or practices) 
tell me about where you ARE AT RIGHT NOW. full acceptance, "this is my situation" ....  *
how do you feel physically? 
check all the boxes of what you'd like to improve upon! 
 *
Required
what is your #1 goal and desire about working with me? = what would you LOVE to feel or have happen? 
what do YOU think you need to reach these goals? *
are you willing to take responsibility for where you are in order to change everything for you? 
Clear selection
are you able and willing to invest energetically and financially in your healing right now? 
*note: this private coaching container is a 4 figure USD investment, as it requires very close proximity to me and brings about big transformations* *
what is your IG handle and phone number?  *
A copy of your responses will be emailed to the address you provided.
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