New Client Inquiry
Thank you for your interest in working with me. I prioritize creating a safe, respectful, and sacred healing space. Please take a moment to answer a few questions so I can get to know you better. Once I receive your responses, I’ll personally follow up with next steps.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
How did you hear about us?
*
What type of support are you seeking right now?
*
Have you received bodywork, coaching, or somatic healing before?
*
What are you hoping to receive or experience from our work together?
*
What days/times generally work best for you?
*
Weekday Mornings
Weekday Afternoons
Weekends
Other
Do you agree to honor and respect the safe, non-sexual, trauma-informed nature of this healing space?
*
Yes, I fully understand and agree
No / I’m not sure (Note: this may make you ineligible for booking)
Is there anything else you’d like to share before we connect?
Submit
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