Inquiry & Alignment Form

Inquiry & Alignment Form
This inquiry allows us to explore alignment and practical considerations before determining next steps.

Please share only what feels right to offer at this stage. Please know that what you do share will remain confidential. This inquiry is a beginning, not a test. You are welcome to respond in length or briefly.
Inquiry & Context

This helps me understand a little bit about your "why", "why" & "why now"
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Solo Private ImmersionDuet (with another person)Small Group (3 - 4)Unsure/ Open
Private Solo ImmersionGroup RetreatExploring FitUnsure
SedonaShastaFloridaCosta Rica (2027)Peru (2027)
Which dates are you interested in?
Threshold & Intent

These questions help clarify timing and fit
What brings you to inquire at this moment in your life? What feels complete, unfinished, or at a threshold for you right now?
What are you seeking in this experience? What do you wish to gain? release?
Orientation & Capacity

This helps me understand how you meet intensity.
How do you typically meet intensity, uncertainty, or initiatory experiences in your life? You’re welcome to share in your own words, or briefly reference a lived example if that feels helpful.
Preparation/ Readiness (diet, practices, structure)

.
What is your current relationship with diet, mindfulness, meditation or some type of embodied practice? If guided preparation supports alignment, are you open to a structured preparatory phase?
Integration & Responsibility

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What does integration mean to you, and how do you tend to support yourself in the weeks following a significant experience or transition?
Practical Considerations

.
Our registration includes a detailed Health Intake Questionnaire. But for now, are there any relevant medical, psychological, or logistical considerations we should be aware of?
Please share anything else you would like to share.
Thank you for entering this space with care and sincerity. I review each inquiry personally and will respond directly.
— Amy
Should be Empty:

Inquiry & Alignment Form

Inquiry & Context

Threshold & Intent

Orientation & Capacity

Preparation/ Readiness (diet, practices, structure)

Integration & Responsibility

Practical Considerations