Name *

First Name

Last Name

Phone *

If not in the US, please include your WhatsApp or Messenger info for contact info.

Country

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What kind of support are you seeking right now? (Feel free to check all that apply) *

I’ve experienced awakening—and now I want to take it deeper. Into my body, my life, my relationships, and how I show up in the world.

I’m in a season of transition (ending a relationship, recent move, new relationship or job, grief/loss/disillusionment)

I’m seeking support for my personal well-being and/or physical pain (chronic tension, inflammation, fatigue, nervous system overwhelm, etc.)

I’m in a season of spiritual seeking—longing for clarity, meaning, and deeper connection to the Divine within.

I’m ready to commit to myself and this journey— not just for relief, but for real transformation.

Something else is present for me that isn’t listed here.