Breaking through with breathwork
This is an application for a somatic breathwork experience designed for individuals who are ready to release what’s held in the body and transform. Through the breath, we access what the mind cannot — rewiring the nervous system and unlocking a level of clarity and presence that changes everything. This work is intentional, deeply personal, and not for everyone. The questions below are designed to help us both determine if this is the right fit. Please answer honestly — there are no wrong answers, only the truth of where you are right now. Only the questions marked with a star are required, so feel free to share as much or little as you want!
Have you done breathwork?
Yes
No
If so, what type?
Which type(s) of breathwork had the greatest impact, and why?
What is drawing you to breathwork?
Are you currently committed to other wellness practices, including other somatic work, fitness, nutrition, supplementation, flow work?
Yes
No
If so, include details, including whether you are practicing independently or with a group.
What have you already tried to help you create transformation — and what has been missing?
On a scale of 1–10, how ready are you to create real change?
Is there anything in your physical or mental health history I should know before we work together? See the link below for potential contraindications.
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Contraindications
What does success look like for you 90 days after your first session?
How did you hear about this work, and what made you decide to apply?
What else would you like to share with me?
Name
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First Name
Please provide your preferred contact information
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Thank you for taking the time to answer these questions with honesty and intention. It takes courage to look clearly at where you are and where you want to go — and that is exactly what this work asks of you. Your I will personally review your application, and you can expect to hear back within one week. If it feels like a fit, I'll be in touch to schedule your session. Until then — trust what brought you here.
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