The LW Application

The Respond Application

Begin Your Respond Experience Application
This exclusive in-home experience is by application only. Please complete the form below to be considered. If selected, you will receive an email with next steps and available booking dates.
Basic Information
Full Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Country CodeArea CodePhone Number
Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Experience Selection
What are you most interested in?*

Signature Respond Experience $360 (75 min)Elevated Respond Experience $500 (90 min)Ultimate Respond Experience $750 (2 hours)Other (Please Specify)
About You
Have you ever received a professional bodywork or holistic wellness experience before?*

YesNoOccasionally
What is your main intention for this experience? (Check all that apply)*

Stress relief & relaxationEnergetic alignment & emotional balanceImproved mobility & flexibilitySelf-care & holistic healing
Do you have any medical conditions, injuries, or sensitivities that I should be aware of?(Short answer response)*
How do you currently care for your body and well-being? (Short answer response)*
How do you see this experience benefiting you? (Short answer response)*
Availability & Location
Preferred days/times for your session? (Check all that apply)*

Weekdays (Afternoon)Weekdays (Evening)
Do you have a quiet, private space available for the session?*

YesNo
Would you be open to providing a testimonial or feedback after your session?*

YesNo
How did you hear about us?*
Additional Information
Is there anything else you’d like us to know about you?
Should be Empty:

The Respond Application

Basic Information

Experience Selection

About You

Availability & Location

Additional Information