Erik Jude Wellness: Structural Integration

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Fill this out completely. I'll follow up via email with you in a few days. If I think my services and approach might be a good fit then we'll schedule a 15-20 phone consultation..

Email *

Full Name *

How did you hear about me? In other words, who or what (website, social media, etc.) referred you to me. *

I understand that Structural Integration is a 10-session series. Each session focuses on a different region of the body resulting in a full body treatment. Anything less than 10-sessions is not an option until the series is completed once. *

Yes

I am ready to explore how I relate to my body. To increase opportunity for ease, movement and overall body coherence by bringing awareness to patterns that no longer serve me and to integrate my discoveries in service to my goals of growth, development and self-compassion. *

Yes

Required

I understand that Erik's approach to this work, includes the intention to inspire deeper reflection, growth and development supported by a holistic view (body-mind-spirit) of the human experience. *

Yes

Required

Please note any challenges (physical injuries, chronic conditions, mental health, etc.) that impact your life that would be important or helpful for me to know about. Type n/a or not applicable if appropriate. *

I understand that Structural Integration is not a substitute for medical attention from a doctor and that as a Practitioner, Erik Jude does not diagnose or treat illness or disease of the body or mind. This work is not a substitute for support from a medical or mental health provider. *

Yes

I understand that clients wear clothing that allows access to the anatomical territory of the session and for clear visual static and gait assessment. This includes small (not long) shorts or full-coverage underwear (no boxer shorts, please) and an open-backed sports bra (no racer-backed sports bras, please). *

Yes

Required

Briefly describe what you hope to gain from a 10-session Structural Integration series. *

I'm interested in: *

10-session series (60-minute sessions)

10-session series with Coaching (90-minute sessions)

Is there anything not covered in previous questions that's important for me to know about you?

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