Private Intensive Intake Form

Let's meet where you are

This is the whole arc of the work, deeply personal. I travel to you, and we do the integration work together, meeting you exactly where you are. I hold space for only a few at a time. Tell me what you're carrying, and I'll be in touch personally. Everything you share stays between us.
Name

First NameLast Name (or initial)
Email Address
example@example.com
Phone Number (optional)
Please enter a valid phone number.Format: (000) 000-0000.
Location (city and where the intensive would take place)
How did you hear about Meg?
Instagram, friend, etc.
Scope of Work
What are you hoping to work on or move through during this time together?
Preferred format: ceremony, teaching/conversation, or a blend of both
Are you interested in including a plant medicine ceremony?
Preferred length of intensive (e.g., 3 days, 4 days)
Preferred or target dates
Do you need flexible or last-minute scheduling availability?
Do you require exclusivity around these dates (no other clients/commitments)?
Do you anticipate needing on-call access to Meg beyond scheduled session times?
Are you interested in follow-up support after the intensive concludes?
Is discretion/confidentiality a priority for you?
Logistics

Travel, lodging, parking, airfare, and rideshare are covered by the client and billed separately from the day rate.
Will you be arranging Meg's lodging, or should this be quoted and covered directly?
Meals are covered by the client during scheduled sessions. Any additional shared meals will be discussed and agreed upon before travel. Any preferences or notes?
Any dietary restrictions, allergies, or space requirements Meg should know about?
Health & Safety
Any relevant physical or mental health history Meg should be aware of?
Current medications (relevant if ceremony is included)
Emergency contact—name and phone
Submitting this form does not confirm booking.

A quote and availability will follow within a few business days.
Should be Empty:

Let's meet where you are

Scope of Work

Logistics

Health & Safety