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Session application

I don’t work with everyone.
This form helps me feel whether this is the right space for us to enter together.

Name

*

What is your email address?

*

What is your phone number?

*

Have you had a session with me before?

*

Have you had a session with me before?

A

Yes

B

No

If you had a session with me before, please describe it briefly

Why are you drawn to work with me, and why now?

*

Where in your body do you feel the most tension or resistance right now?

*

Do you find it easy or difficult to let go of control in your body?

*

Do you find it easy or difficult to let go of control in your body?

A

Easy

B

Difficult

C

I don't know

Are you open to emotional release, stillness, silence, or unexpected feelings during the session?

*

Are you open to emotional release, stillness, silence, or unexpected feelings during the session?

A

Yes

B

No

C

I am curious

What do you hope to feel during this session?

*

Is there anything else I should know before deciding if we work together?

*

This space requires presence, respect, and emotional responsibility.

Please confirm you understand and agree:

*

Please confirm you understand and agree:

This is not a sexual service

No sexual release will take place during the session

I will fully respect the boundaries of the practitioner

I understand this is a body-based, emotional and experiential space

I agree to communicate honestly if something feels uncomfortable or unclear

I understand that I may not be accepted to work together

Session application

Name

What is your email address?

What is your phone number?

Have you had a session with me before?

If you had a session with me before, please describe it briefly

Why are you drawn to work with me, and why now?

Where in your body do you feel the most tension or resistance right now?

Do you find it easy or difficult to let go of control in your body?

Are you open to emotional release, stillness, silence, or unexpected feelings during the session?

What do you hope to feel during this session?

Is there anything else I should know before deciding if we work together?

Please confirm you understand and agree:

Is there anything you feel but haven’t said?