Inner Child & Nervous System Care
Thank you for your interest in this body-based, heart centered journey of personal healing and growth. I would like the next 4 months to really be supportive to your needs. With that in mind, these next few questions will help us both know what areas to focus on and if this space is the right fit for you. Thank you for your interest. Total investment: $790.
Name
*
First Name
Last Name
Email
*
example@example.com
1. What are your primary goals for joining this 4 month container? Select all that apply.
*
Deepen self-love, intuition, and self-trust
Heal unresolved emotional wounds
Improve my health (chronic illness, anxiety, ptsd)
Strengthen personal boundaries
Release resentment, fear, or insecurity
Feel more myself, authentic, alive
Learn to regulate emotional triggers
2. What challenges or patterns are you currently dealing with? (This could be with family, health, or work. Share as little or as much as you feel comfortable with.)
*
3. What draws you to working with me specifically? (What resonated with you? What made you say "yes, this is for me?" Have you done inner child work before?)
4. What are you hoping to receive or experience over the next 4 months? (What would healing look like for you? What would shift in your life, health, or relationships?)
*
5.) Which days of the week work best for you for LIVE group sessions? Select all that apply.
*
Monday
Wednesday
6.) Which time works best for you? (all Eastern time zones.) Select all that apply.
*
4:00 PM
5:00 PM
6:00 PM
7:00 PM
7.) Is there anything else you would like me to know? (This could be about your current situation, any concerns, questions, or anything else on your heart.)
Please schedule your free clarity call with me so you can get started.
Just and FYI: this support container is a group setting. We will hold LIVE sessions over Zoom (5x total). You can have camera on/off as you desire. You can participate at your comfort level.
Submit
Thank you for taking this brave step. I'm honored to potentially hold space for your journey. Once I receive your application, I'll review it and reach out within 2-3 business days to:
*Answer any questions you have. *Discuss payment options. *Confirm your spot in the founding cohort. If we're both aligned that this program is the right fit, I'll send you everything you need to officially secure your spot.
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