Youform

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Who are you?

First Name ^*

Last Name ^*

Email ^*

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What brings you here? ^*

Is there something specific youre currently moving through, navigating, or seeking support with?

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What about my work or approach felt relevant or resonant for you? ^*

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Have you explored breathwork, energy work, or other body-based practices before? ^*

Yes

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If yes, what was your experience like?

Move onto the next question if you have not done this type of work before.

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What are you hoping to receive, shift, or explore through these sessions (or through working together)? ^*

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How would you describe your current relationship with your body? ^*

I feel safe, present, and connected in my body

I often feel disconnected or unsafe in my body

I'm still figuring that out

I dont understand the question

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What feels like a realistic investment for you in this work right now? ^*

Theres no pressure or expectation, this is simply to get a sense of where youre at.

£0-100

£100-1000

£1000-2000

£2000+

Not sure yet

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If it feels aligned, are you open to booking a session or series of sessions? ^*

Yes, I'm ready

No, not yet

Just exploring right now

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Anything else youd like me to know?

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Check-in invitation:

Take a moment to check in with yourself. Notice any thoughts, sensations, or emotions that may have come up while filling in this form. Take a breath. Feel your feet on the ground. Place one hand over your heart. Look around you. Can you meet yourself with curiosity, not judgement?

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Thank you.

Your answers have been received.
If it feels aligned to move forward, Ill be in touch soon with next steps.

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