Core Embodiment Discovery Application

Core Embodiment Discovery - Application

This is a brief questionnaire to begin the process of exploring our alignment for working together in some capacity. Whether working together privately or in a group container. Please be as honest and detailed as possible. I will reach out to you to set up an interview to continue to deepen the process. 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

Website if you have one

Where do you live?

What is your profession or primary work?

What are you resonating with the most about my message so far?

Please let me know how you came to find me?

What is the primary focus and devotion of your life right now?

What areas of your life are you feeling less than thriving and are seeking support?

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

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

If you answered yes to the above question, what did you find most valuable and effective in your experience?

How is your relationship with boundaries? On a scale of 1-10 ( 1 being, " I don't know what a boundary is!" to 10, "I am a master of owning my space and taking care of my self").

Please write a few sentences about your relationship with intimacy - especially being intimate and honest with yourself:

Are you on any medications for mental or physical health reasons? If so, may I please know what they are?

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 do you have the necessary desire, time and money to explore what would be involved to truly shift the totality of your life?

Are there any questions you have for me or anything else you would like me to know about you that would support our discovery call 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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