Pre-Appointment Form

Pre-Appointment Form

This form with allow us to get clear on your needs and how we can best support you before every appointment.
Name*

First NameLast Name
E-mail*
example@example.com
Instagram handle
@instagramhandle
First Time Visit?*

YesNo
The rest of this form is to help us get clear on your needs and how you can best be supported in shifting your energy to get you to where you'd like to be! Please fill out all fields to the best of your ability. Know that there is absolutely no judgment here. Your answers are simply to help us set up the best success plan for you.
How I'd describe my current energetic situation? (Choose the closest one.)*

Great, just lacking some clarity.Good, not great. Lacking clarity or direction. Feeling some energetic blocks arise.Just meh. Feeling pretty lost, unmotivated or uninspired.Not good. Feeling myself fall into old cyles or patterns. Feeling the spiral into negative stories beginning and I need to get out of it asap.I honestly have no idea. I need to talk it out in person and sort through what's going on.Other
If other, please specify here:
My current priorities. (Choose all that apply.)*

Releasing myself from past feelings of trauma, stories or cycles.Clearing out stagnant energy that no longer serves me.Having the ability & tools to catch myself when I'm getting hooked into an old pattern or way of being.Releasing rigidity & softening into energetic balance.Feeling more grounded & present day to day.Being able to experience more joy & pleasure day to day.Attracting or manifesting more joy & pleasure into my life.Working on active manifesting.Gaining some clarity in my current situation through a card reading.Rewriting my money story & releasing my money blocks.Identity work - getting clear on how I want to show up in my world & why.Calming my nervous system and allowing my body to be open to receiving.I have no idea where to even start, I need major direction.Other
If other, please specify here:
Work/homework I've done to work on these priorities since my last session (if applicable,) or anything else I'd like to share:
If you're a new client submitting this form to begin your journey, a single 1hr session is $155+hst CAD.
Should be Empty: