RZ Method Student Application
"In a world of noise, stress and chaos, I want to share with you ancient and modern practices of holistic wellness.."


Breath.
Movement.

Fill out this application to see if its a good fit for us.

*This is a confidential document
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Email *
First and Last Name *
Age *
How many hours a week do you work? *
Physical Wellbeing *
Everything feels broken
Can't get any better.
Spiritual Well being *
Non existent
Can't get any better.
Emotional Well being (How you deal with stressors) *
Wreck
Bulletproof
Anxiety?  Scale of 1-10 and what have you tried? Has it worked? *
Do you have chronic physical pain/limitations?  (if yes explain, or write no if none) *
What have you tried to relieve the pain? (what worked? What didn't work? How long did you try it for?) *
What kind of practitioners and therapists have you tried? What were the results? *
How much do you sit? Duration? Frequency? *
What time do you go to sleep? *
Time
:
What time do you wake up? *
Time
:
What do your eating habits look like?  (write a honest sample 3 day menu )Be mindful of your Stressed eating and times of calm. *
Do you have spiritual practices? what are they? *
Do you meditate? (How often? Duration?  What kind of meditation?) *
Where do you run away when you get stressed/overwhelmed? (Food, Entertainment, Drink, etc) *
How would you rate your sleep? Do you wake up at night? *
What are your comfort foods? *
Do you take any supplements? What kind? Are you consistent? *
Do you have a physical practice?  If so, what modality? How often do you practice in a 7 day period? Duration of practices? How long have you been practicing for? what is the intensity? *
Have you done any testing? (blood  panels, toxins,  etc) *
Are you open minded to new things? *
What is your WHY? Why do you want to improve your overall well being? *
What are some of your overall goals for the next 12 months?  (physical, mental, emotional, financial, etc) *
How much time can you invest into your wellness practice daily? *
Have you ever committed 6-12+ months to a program? *
If yes, what program? What were the results?
This program is for students, not dabblers. Can you commit to staying the course and going on this journey? (6 months min*) *
Would you be interested in an immersive 3 or 5 day retreat? *
Anything else you want to tell me? *
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