Application for Force of Nature

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Greetings dear FORCE OF NATURE! Thank you for your interest in adventuring with me in to the wondrous realms of you! First, tell me some things about you so I can begin to learn how I can serve you best. Then, let's have a 30 minute connect call and map our way forward into this adventure together! Only fill out what you are comfortable with below! <3

This should take 5- 10 minutes, and will help us determine if we are a good fit for each other.

Email *

Full Name *

Your Pronouns

Phone number (I will only use this in context of this program and fully protect your privacy. No auto-texts or spamming). *

Where are you most inspired to find Movement in your life right now? Check up to 3 *

self esteem/feelings of self worth

creative inspiration

follow through

physical wellness and fitness

relationship to others

relationship to self

relationship to food, substances and/or habits

mental emotional wellness

self identity/in times of transition

Confidence in Self-Expression & speaking your truth

Other:

Required

What challenges have kept you from realizing this so far? *

On a scale of 1-10 how serious are you about transforming your experience of life right now? *

I'm not at all interested in change right now.

I'm 100% and ready to commit to any process that feels right!

Why do you feel drawn to this program right now? *

If I could help you to more fully reveal the Force Of Nature that you are, what might that look like in the realms of wellness & self-expression? (Please feel free to be as detailed or simple as desired). *

What in life are you most curious about right now? *

How much time each day do you have (most days) for self-care/self-discovery? *

15-20 minutes

30 minutes

60 minutes

90 minutes

2 hours

more than 2 hours

What are your current practices and self-care habits? (Its ok if you don't have any or you are struggling w/ them, just give me a lil sketch of an idea ;) *

Is there anything else you would like me to know about you?

Thank you for your generous responses!

I will review these with an open heart and be in touch with next steps. If this feels like a good fit right now, then I will email you to schedule a 30 minute one-on-one call to hone in on your goals and I will share more details of the program. This application is not a commitment or guarantee of participation, and nor is the call. The program begins April 1, 2022. I am excited to learn more about YOU!

A copy of your responses will be emailed to the address you provided.

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