Embodied Path Application
Apply for The Embodied Path, a three month 1:1 somatic therapy coaching container. Please fill out the form as best you can. I will email you back when I receive your application. If you have further questions, you can email me at leelakelley9@gmail.com
Email
*
example@example.com
Full Name
*
First Name
Last Name
What are your pronouns?
*
What are your intentions and goals for working together in this coaching container?
*
Please share any mental health history or diagnoses that feel important for me to know.
Have you been in therapy before?
*
Yes
No
Would you like to sign up for weekly or biweekly sessions?
*
Weekly sessions
Biweekly sessions
Is there anything you'd like to share about your current somatic and spiritual practices?
When is your preferred date?
*
March 2026
June 2026
August 2026
Submit Application
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