The Inner Sanctuary System Application

1
Full Name* This field is required.
First Name
Last Name
2
Email Address* This field is required.
example@example.com
3
Phone Number* This field is required.
Please enter a valid phone number.
4
LinkedIn Profile URL (optional)(Optional)
5
Can you describe in your own words what living with Complex PTSD feels like for you on a day-to-day basis? What are the most significant challenges you currently face?* This field is required.
(e.g., constant dread, emotional flashbacks, hyper vigilance, feel exhausted)
6
What specific outcomes or transformations are you hoping to achieve through a program like the "Inner Sanctuary System"? What would "reclaiming your inner power" or "unshakeable inner peace" look and feel like for you?* This field is required.
(e.g., true inner calm, strong boundaries, self-trust, freedom from reactions)
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The "Inner Sanctuary System" is deeply rooted in Tantric principles of embodiment, energetic sovereignty, and radical presence. What is your initial reaction or understanding of a Tantric-based approach to healing trauma?* This field is required.
(e.g., curious, open to energy work, holistic approach, feels right
8
On a scale of 1 to 10, how ready do you feel to commit to an 8-week online journey that requires self-pacing and consistent engagement with guided practices?* This field is required.
1 Not really ready...
Extremely ready! 10
Row 0, Column 0
1 Not really ready...
Extremely ready! 10
Row 0, Column 0
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We will be working with concepts like dissolving "trauma's energetic imprints" and restoring "life force." How open are you to exploring the energetic and spiritual dimensions of your healing process?* This field is required.
Please Select
Please Select
I am FULLY open and EXCITED to explore these profound principles.
I am curious and willing to learn, even if it's new to me.
I am not really into 'energy' work.
10
This program is designed for "sensitive souls." How do you identify with being a sensitive person, and how do you believe that sensitivity impacts your experience of trauma and healing?* This field is required.(Optional)
(e.g., highly sensitive, feel deeply, easily overwhelmed, absorbs others energy)
11
Beyond time and emotional energy, are you also ready to make a financial investment in your healing journey for this level of guidance and transformation?* This field is required.
YESNO
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Is there anything else you feel it's important for me to know about your current situation, your healing goals, or your expectations for this program?* This field is required.
(e.g., currently in therapy, seeking lasting change, no quick fix, looking for deep transformation).
13
Thank you for completing your form for the Inner Sanctuary System. You'll be re-directed to our Booking Page. Please select a time to book your complimentary Clarity Call!
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