Thank you for your interest in joining this circle. I believe in the quiet power of gathering—where a small group, held with care and intention, can become a place for deep restoration and inner clarity.

As a certified NUSHU Group Facilitator, I hold space with mindfulness, active listening, and reflective journaling practices to support your own unfolding—at your own pace.

This intake form is simply a first step. It offers a sense of what to expect and invites you to share a bit about where you are right now—your support systems, intentions, and what you’re hoping to receive in this space. Your responses are held in full confidentiality and with deep respect.

Let this be a gentle bridge, not a test—just a way for me to better understand how to support you and ensure this circle is the right fit.

Whenever you're ready, take a breath... and begin.