Holistic Trauma Healing 1:1 Coaching Program Application
The Holistic Trauma Healing Coaching Program is intense, customized healing work, nervous system regulation, and awareness practice with trauma coach Lindsey Lockett.

Lindsey requires new clients to commit to 6 months of working together. There are no shorter containers available. After 6 months, if you wish to continue working with Lindsey, you can renew or switch to a month-to-month option.

Package options and pricing are as follows:

Option 1: $6,666
> 18 90-minute private coaching sessions (3 per month)
> up to 30 minutes per week Voxer support between sessions
> Nervous System Hygiene (my group program for learning NS tools)
> 3 ways to pay:
   - one payment of $6,666
   - 2 payments of $3,333 (first payment is due prior to beginning, second payment is due at the beginning of month 3)
   - $1,111 per month, due at the first of each month

Option 2: $5,555
> 12 90-minute private coaching sessions (2 per month)
> up to 30 minutes per week Voxer support between sessions
> Nervous System Hygiene (my group program for learning NS tools)
> 3 ways to pay:
   - one payment of $5,555
   - 2 payments of $2,777 (first payment is due prior to beginning, second payment is due at the beginning of month 3)
   - $925.83 per month, due at the first of each month

Option 3: $4,444
> 12 60-minute private coaching sessions (2 per month)
> up to 15 minutes per week Voxer support between sessions
> Nervous System Hygiene (my group program for learning NS tools)
> 3 ways to pay:
   - one payment of $4,444
   - 2 payments of $2,222 (first payment is due prior to beginning, second payment is due at the beginning of month 3)
   - $740.66 per month, due at the first of each month

**No discounts or scholarships are offered for coaching as this is Lindsey's most intense energetic and time investment of all her work.**

If you are not prepared to make the investment required for this program, please do not fill out this application.
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Email *
Name *
Cell Phone # *
Age *
Instagram Handle
Are you married or living with a partner? *
Required
If you answered YES to the above question, please tell me about your relationship with your partner. Do you feel safe? Is your relationship with your partner a source of stress? Are you actively in an abusive situation?
I'd like to know more about your relationship with your partner. Please check all that apply and BE HONEST:
If you checked "Other" above, please share more about your relationship with your partner.
What do you enjoy doing for fun? *
What is your current occupation and do you LOVE what you do? *
If you are a menstruating woman, please tell me about your menstrual cycle. Is it regular? Do you experience severe cramping, PMS, heavy bleeding, clots, breast tenderness, etc.? *
Are you currently pregnant or breastfeeding? *
How many children are still living at home with you and what are their ages?
Do you eat a vegan diet? *
Please tell me about what you believe is your trauma and what you've done to work through it so far. *
Tell me about your spiritual beliefs. What do you believe happens when we die? Are you religious? What do you believe is the purpose of life? *
What are your top 3 goals for your life? *
What have you done so far to make progress on those goals? *
What do you think is holding you back? *
Please briefly describe your understanding of trauma's effects on the nervous system. *
What healing modalities do you have experience with? (Check all that apply.) *
Required
Of the healing modalities listed below, please check the ones you are NOT willing to try. (Check all that apply.) *
Required
If you would describe any point in your journey as an "awakening", please tell me what that was/is like for you.
Please list your TOP 5 daily stressors and why you feel stressed about these things: *
Fill in the blank: "I will feel our work together was completely worth it if ________________________" *
How open are you to receiving honest and candid feedback about your life, choices, patterns, and behaviors? *
If you selected SOMEWHAT, CURIOUS, or VERY open above, choose 1 or 2 statements below that most accurately describe you. *
Required
The Holistic Trauma Healing Program requires an investment of time, energy, and vulnerability. While it is very helpful and preferred for you to have a support system or person in place, this is YOUR work. If you do not have or cannot find several extra hours each week due to your job, children at home, your partner, extracurricular activities and commitments, it is important to be honest with yourself and with me about this. A lot has to go into this program from both sides, yours and mine, in order for it to be beneficial for you. With that said, how willing and able are you to find or create several extra hours per week for most of the time we work together? *
There are thousands of online coaches. Why do you want to work with Lindsey 1:1? *
Is there anything else you want Lindsey to know?
If you are a good fit to work with Lindsey, which coaching package are you most interested in? (Scroll back up to see the details of each option) *
Lindsey is NOT a licensed therapist, psychologist, or psychiatrist. She is a trauma educator and coach. This 1:1 coaching program is not intended to take the place of medical care provided by the practitioner of your choice. This program is also not intended to diagnose or treat any physical or mental illness or take the place of therapy provided by a credentialed therapist. Do you understand this, and do you consent to going through this 1:1 program with Lindsey? *
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