Application for 1:1 Coaching with Tori Gordon
This application is for those who feel called to work with me privately, whether through 1:1 coaching, couples work, psychedelic therapy, or integration support. My work is deep, holistic, and designed for those ready to meet themselves fully and walk the path of healing, embodiment, and soul remembrance. Please take your time and answer the questions below with honesty and openness. There are no right or wrong answers, just an opportunity for us to tune into alignment. Everything you share is held in confidence and with care. If it feels aligned, I’ll personally reach out to schedule a connection call to explore next steps. Thank you!
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Contact Method
Text
Call
Email
Where are you currently located?
How Did You Hear About Me?
What are you currently navigating or desiring support with?
What areas of your life feel most out of alignment right now? (Check all that apply)
Mental/Emotional health
Relationships / Intimacy
Purpose / Career
Spirituality
Self-worth / Confidence
Nervous system regulation / Stress
Trauma healing
Psychedelic preparation or integration
Self Expression + Creativity
Community Building
Other
On a scale of 1-10, how would you rate your current level of satisfaction in life?
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
What are 1–3 core patterns or blocks you’ve noticed repeating in your life?
What are you seeking in a coach, guide, or facilitator right now?
Why do you feel called to work with me (Tori Gordon) specifically?
Have you worked with a therapist, coach, or guide before? If so, what worked and what didn’t?
What kind of support are you most interested in? (Select all that apply)
Private 1:1 Coaching
Couples Coaching / Relationship Work
Psychedelic-Assisted Healing
Integration Support (Post-Ceremony)
Nervous System Regulation
Inner Child / Shadow Work
Trauma Healing / Somatic Processing
Faith/Spiritual Expansion
Are you currently working with any other practitioners or healers? (e.g., psychiatrist, therapist, coach, etc.)
Have you worked with psychedelics before? If yes, which medicines, and what was your experience?
Coaching with me is a high-touch, transformational investment of time, energy, and resources. Are you in a season of life where you’re ready to prioritize your healing, growth, and integration? (Yes/No)
Yes
No
What is your current capacity for financial investment in your healing and transformation?
I’m ready to invest in myself and have resources available.
I’m open but need flexible payment options.
I’d like to be considered for a future opportunity or scholarship.
Not sure yet—curious to learn more
If we both feel aligned, how soon are you hoping to begin?
Anything else you'd like me to know about you, your journey, or your vision?
Would you like to be introduced to our trusted wellness partners at Anywhere Clinic?They offer holistic psychiatric care, ketamine therapy, TMS (transcranial magnetic stimulation), and addiction recovery support. If aligned, we’re happy to coordinate care or make a personal referral to their team.
Ketamine therapy (for depression, anxiety, trauma, or psychedelic-assisted healing)
TMS (Transcranial Magnetic Stimulation)
Addiction recovery or substance use support
Holistic psychiatric support / medication management
I’m not sure yet, but I’m open to learning more
No, thank you
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