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The Container™ Interest Form [Aug - Dec'25]

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Thank you for your interest in The Container™, a 4-month elevated therapy experience for high-achieving, self-aware humans who are ready to break free from burnout culture and reclaim their lives.

This form is your first step. It’s not about judgment — it’s about clarity. The more honest you are, the more we’ll both know if this is the right space for your transformation.

Your First Name

*

Your Last Name

*

What is your email address?

*

Have you ever worked with a therapist or coach before?

*

Have you ever worked with a therapist or coach before?

A

Yes, currently in therapy

B

Yes, in the past

C

No, but I've done self-reflection wo

D

No

What in your life are you most dissatisfied or unfulfilled with right now?

*

What parts of yourself are you ready to transform, heal, or understand better?

*

What makes this the right season for your growth?

*

On a scale of 1–10, how ready are you to take accountability and actively participate in your healing and growth process?

*

On a scale of 1–10, how ready are you to take accountability and actively participate in your healing and growth process?

0

1

2

3

4

5

6

7

8

9

10

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

*