1.What am I looking to achieve by participating in this program?

2.What areas of my life am I looking to receive support in through participating in this program?

Somatic Experiencing, Nervous system work and Capacity building

Physical health (Disease state or symptoms management, Optimizing physiology, Overall Wellness)

Mental health (Self Talk, Emotional support, Focus, Motivation, Life Satisfaction)

Education and Guidance regarding Supplements, Herbs, Pharmaceuticals

Personal development (Self Awareness, Deconditioning, Uncovering strengths and weaknesses, Intuition development, Communication, Relationships)

Spirituality: Exploring purpose, fulfillment and deeper meaning

Other (please specify)

3.How long do I think it will take to achieve the results I am seeking?

4.How long am I willing to commit to participating in this program?

5.How much time do I have to devote to this work?

3 hours a week

3 hours once a week and 30min to 1 hour per day 

More than 3 hours a week

Less than 3 hours a week

6.What fears or hesitations are coming up while considering working 1 on 1 with Stephanie?

7.After reviewing your responses I will contact you by email if it seems like a good fit. We will then schedule a phone call to discuss whats next. Please leave the best email/contact info below: