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Personalized Meditation Application

This application is for the first 5 personalized meditation experiences through Grounded Mindsets 🤎

Spots are limited, and submitting an application does not guarantee selection. Every application will be reviewed thoughtfully and intentionally.

This form helps me understand what you're navigating so I can create a meditation that feels personal, grounded, and supportive. There’s no pressure to answer perfectly — just share honestly. I read every application personally and will be in touch within 24–48 hours.

What's your name?

Your email address

This is where I'll contact you regarding your application and, if approved, send your personalized meditation once it's ready.

Pronouns (optional)

How do you pronounce your name? (optional but recommended)

Record a 3-5 second voice note of yourself saying your name and upload it here. I'll make sure I say your name exactly the way you do in your mediation.

What are you currently navigating?

A transition, a decision, a feeling you can't shake. Share as much as feels right. This is the heart of your application

What feels most overwhelming, unclear, or heavy right now?

What emotions or states feel most present for you right now?

Select all that apply
What emotions or states feel most present for you right now?

How do you want to feel after this meditation

Think about the emotional shift you're hoping for

What would feel like a meaningful shift or outcome for you?

What would make this meditation feel helpful for you?

Is there a specific decision, situation, or transition this relates to? (optional)

Are there any words, affirmations, or themes you want included? (optional)

Optional, but this helps make your meditation feel more personal.

Is there anything you would prefer I avoid? (optional)

(e.g, certain language, topics, or tone)

How familiar are you with meditation?

1= completely new to this, 5 = very experienced
How familiar are you with meditation?

If you've tried meditation before, what hasn't worked for you?

When do you plan to use this meditation most?

Select all that apply
When do you plan to use this meditation most?

Where will you most likely listen?

Select all that apply
Where will you most likely listen?

Preferred meditation length

Preferred meditation length

What would you like included in your meditation?

What would you like included in your meditation?

Would you like background music?

Would you like background music?
A
B
C

Is there anything else you'd like me to know?

Something that didn't fit above. A detail that feels important. Something you've been meaning to say. The space is yours.

Please confirm the following before submitting

Please confirm the following before submitting