1.I am so honoured that you are here & are considering making your healing a priority in your life right now.

The following questions are to help me find out a little more about you, your intentions & guide our discovery call :-)

What is your name?

2.What drew you to healing/breathwork? (in your own words)

3.What else drew you to healing/breathwork? (tick as many that resonant to you)

I have known trauma & wish to set myself free of it

I am constantly repeating patterns & cycles from the past, it feels like I can't move on

I am curious & open minded to self development

I feel lost in life & not sure where I want to go

I am finding it hard to heal & move on from pain in the past

I want to create a better life for myself

I've tried breathwork (with you) & loved it. I want to go deeper in the journey!

I'm intrigued at body based therapy work (breathwork)

I've reached a dead end with talk therapy

I want to feel empowered and like I really am the creator of my life

I have heard breathwork is spiritual & wish to go deeper into my spiritual journey

I want to improve my health

I want to educate myself on breath/lungs/nervous system regulation

I was recommended breathwork

I feel like my emotions are out of my control

I have poor mental health/suffer with anxiety or depression

I've reached a dead end in my life

My life is fine but I feel like it's missing something...

I feel numb to life

I would like help healing my trauma/past pain to move towards a better future

I want more for myself, my life.

Other (please specify)

4.Where did you hear about me?

Instagram/FB

Medium

Friend/Family

Google

Event

Advert

Other (please specify)

5.What do you wish to create for yourself post successful healing journey?

6.What else do you wish to create for yourself post successful healing journey? (tick as many that resonant to you)

Free myself of my trauma

Create new beliefs & patterns that support my best/ideal self

Live my best life of my dreams!

Not being afraid of life

Clarity & direction in life

Deep inner peace

Deeper connection to my body

My trauma/pain is left in the past. I am free to move forward!

Empowered! Creator of my life

Deeper spiritual connection

Healthy, ability to regulate emotions

Regulated nervous system

Able to ride the waves of life

Content/happy with life

Meaning to life

ALIVE

An expansive future

An amazing career

A beautiful romantic partnership

Love for my body

Deeper connection to myself & intuition

Stronger sense of independance

I want to feel powerful & strong!

Other (please specify)

7.How strongly do you wish to embark on this healing journey?

I am ready now

I have been looking for the aligned coach for a while

I am sure I want to heal, am very curious and enquiring

I am simply looking at options

I am not wishing to start for at least 3 months

I am still unsure whether healing is for me

Other (please specify)

8.What timezone are you in?

9.Have you tried breathwork before?

Yes - deep breathwork

Yes - pranayama/in yoga only

No

Other (please specify)

10.Thank you so much for your time. Please leave your best email & Whatsapp phone number for me to get back to you ♡