Breathwork Application
Welcome! I am so happy you're here! Breathwork is an incredible tool for healing and transformation! If you're ready to step into your next level of health and self-development, you're in the right space! Let's see if a 1:1 container is right for you. Fill in the application below and book a free call to review! Note: 1:1 journeys require a minimum of a 3-month commitment - one session per week for four weeks, then one integration week. Payment plans can be made available if necessary.
Everything you share is kept confidential.
I understand
Name
First Name
Last Name
Email
example@example.com
How did you hear about me?
What's your story? What brought you to wanting to do breathwork/somatics/deeper healing work?
What are your top 3 goals/desires you want to achieve with breathwork?
Check all that you have tried on your journey
Medication, worked with MD's
Natural health practitioners - ND's nutritionists, etc
Supplements
Diet changes
Therapy
Meditation
Breathwork
Life Coaching
Energy work
Spiritual healing
Other
Are you willing to do what it takes to heal?
Yes
No
Maybe
Are you willing to invest (money, time, energy) into your health & healing?
Yes, definitely
No, not really
Only if I see results
Are you willing to commit 1-2 hours per week to yourself and your healing?
Yes, I am ready to do what it takes!
Maybe, if I organize my time
No, I don't have time for that
What format?
Online
In-person (Belleville ON)
Open to both
Where are you located?
What is your availability? Mornings, evenings, weekends, specific days of the week?
Anything else you would like to share?
More than anything else, right now, what is the ONE thing you desire most in your life?
Please use my Calendly link below to book your free discovery call! On this call, we will talk about your application and see if a 1:1 container is right for you!
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