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Dahlier Client Fit Form

Thank you for your interest in Dahlier Rituals. These guided somatic rituals are designed to support presence, release, and integration.

They are not therapy or medical treatment,

but invitations to return home to your body. Your responses help me understand where you are on your journey so I can hold space for you with care.

Name

Email

What draws you to explore a ritual at this time?

Which path are you drawn to?

SLOW — Gentle attunement and presence

RISE — Release and integration

Unsure — I’m not sure yet, I’d like guidance

How do you most often find yourself feeling in your body these days?

Calm and steady — I can usually settle with ease

Tense or on edge — my body often feels tight or activated

Disconnected or numb — it’s hard to feel much at all

Overwhelmed or overstimulated — everything feels 'too much'

Other

Is there anything I should know to support your safety and comfort?

Dahlier Rituals are somatic, embodied practices offered for support and integration. They are not medical or psychological treatment, and participation is always voluntary. You may pause or stop at any time.

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☑️ I understand and consent.