CLEARITY Method™: Rootwork for Nervous System Regulation & Subconscious Repatterning
Thank you for your interest in the CLEARITY Method™. This application helps ensure that this integration process is aligned with your current needs, capacity, and desires for change. Please answer honestly and thoughtfully.
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
Please enter a valid phone number.
Location/Time Zone
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Alignment + Readiness
What led you here? What’s currently feeling stuck or dysregulated in your life?
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Have you done any somatic, nervous system, or subconscious work before? If yes, please describe briefly.
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Why do you feel called to this work now?
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What would feel like a meaningful shift or outcome for you after 8 weeks of this work?
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How do you typically respond to discomfort or resistance during inner work?
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Are you currently in therapy or under the care of a mental health provider?
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Please Select
YES
NO
Capacity + Commitment
Are you able to commit to:1 weekly 60-min session, guided practices between sessions, & honest engagement with your internal process?
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Please Select
Yes
Not sure
No
Which payment method do you intend to choose if accepted?
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Please Select
Pay in Full ($2,500)
Payment Plan: $500 deposit + 3 monthly payments of $675
Unsure / Need to Discuss
Is there anything else you’d like me to know as I review your application?
Final Note:
This is a co-regulated, trauma-informed space. Your responses are confidential and held in care. You’ll receive a response within 2–3 business days regarding next steps.
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