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WELCOME

1:1 Somatic Support Application
Please answer slowly and honestly. There are no right answers.

What is bringing you to seek 1:1 support at this time?

Share what feels most alive, challenging, or ready to shift.

ORIENTATION & INTENTION

What are you hoping to experience or feel differently through this work?

Focus on felt sense rather than goals or fixing.

Multi choice

Have you worked with somatic, nervous system, or trauma-informed practices before?

Multi choice
How would you describe your relationship with your body right now?There is no “right” answer here.

Multi choice

Are you currently receiving therapy or other forms of support?

If yes, would you like to share anything that feels relevant?

This work involves emotional awareness, embodiment, and nervous system regulation. How does your body feel when you imagine committing to this kind of support?

Multi choice

Are you open to investing time, presence, and financial resources into your healing and growth?

Multi choice

If accepted, are you willing to show up consistently and honor the pace of your nervous system (rather than pushing for quick fixes)?

What feels most important for me to know about you before we speak?

Dropdown

How did you find your way here?

Single choice
Yes, I understand and agree

I understand this is somatic coaching and not psychotherapy or medical treatment.

Helping women return home to their bodies, regulate their nervous systems, and rise into their heart-led power.

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