Name * First Name Last Name Email * Where are you located? Social media account? * What most interests you about working together 1-on1? * What are your top 3 intentions you'd like to achieve this year? * Where do you feel like you need the most support at this time? * What do you feel holds you back from moving toward your intentions? * Which of the following describes you best? * Open and ready! I’m new to healing work and not really sure where to begin. I can be a bit of a procrastinator. I hold myself back from opportunity, and find a hard time committing. Is there anything else on your heart that you would like to share? Thank you so much for your application! I will review and get back to you within the week