1:1 Application Form

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I am over the moon that you're interested in working together 1:1!

To figure out if we'll be the best fit working together, please answer the below questions as honestly as you can.

I'll back to you within 48hours to either confirm, or I may ask to chat with you further to clarify any of your answers to make sure that this program is appropriate for what you need.

Sending so much love,

Eden xx

What is your full name? *

Email *

Date of birth *

YYYY

Occupation *

What is your main goal from joining this program? *

Have you tried anything is the past to help you solve this?

*

How do you want to FEEL after this program? *

What is your experience of yoga? *

Regularly practice

Sometimes practice

Never practiced

What is your experience of breathwork and meditation? *

Regularly practice

Sometimes practice

Never practiced

Do you have any conditions or injuries you would like to make me aware of? *

Are you currently on any medication? (If yes, what for?)

Do you have any particular issues or triggers you're currently aware of, that might be relevant for me to know? *

Do you feel ready to fully commit your time, energy and money into this process? *

Yes

Maybe

Sometimes I see women start to withdraw, and not fully commit to the process. If this happens, what signs should I look out for, and what's the best way to approach this with you? *

Thank you so much for filling this application form. I will come back to you as soon as possible. Anything else you would like to share with me?

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