Core Embodiment Discovery Application

Core Embodiment®Self-Discovery Session

This is a brief questionnaire to begin the process of exploring how we can support you in stepping more fully into your next level of embodiment and alignment with who you are. We will also have space to explore working together in some capacity. I will reach out to you with my calendar after I receive this form, so we can set up a time for your 30 min Free Self-Discovery session.Thank you for your interest and for taking the time to feel into what you most want for yourself and your life's greatest expression. May these inquires serve you in already becoming more intimate with yourself. Your answers will be kept completely confidential.

First Name

Last Name

Email & website if you have one:

What is the primary focus and devotion of your life right now? What is your biggest goal or vision that you would like to create?

What do you see as being the biggest obstacles in your way in terms of creating your life on your terms- your vision- the one you would most love to live?

Have you had previous somatic or psycho-spiritual work or embodiment coaching, if so, what kind?

Are you willing, ripe and ready to receive support to explore the necessary changes for the totality of your LIFE to align with your core values? In other words on a scale of 1-10 do you have the necessary desire, time and money to honestly commit to creating what you want for yourself?

Are there any questions you have for me or anything else you would like me to know about you that would support our Self-Discovery session together?

If we could produce a miracle for you in our call together, what might that be?

Thank you

For taking the time to fill this out. See you soon!

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