Somatic Alchemy application
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Email *
Name *
phone *
city, state, country *
What are the things that make you happy? *
What do you most desire to create in your life in this upcoming year? *
What do you think is holding you back from having your desires? *
What drew you to our program, and why do you feel called to participate? *
What is your comfort level or range of experience with sensual movement? *
not at all comfortable
super confident
If you had a deeper more sacred connection with your body, how do you feel your life would change? *
What else would you like to share with us?
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