What is your name? * First Name Last Name Email * Where are you based (location + timezone)? What called you to explore this work right now? What areas of your life are currently seeking attention or transformation? (e.g., emotional patterns, relationships, purpose, creativity, burnout, embodiment, etc.) Have you worked with a therapist, coach, or guide before? If so, what was helpful or not helpful? What kind of support or guidance are you yearning for right now? Which program length are you drawn to (3, 6, 9, or 12 months)? Or are you unsure? What would feel like a meaningful outcome from our work together? Do you have any questions, concerns, or special considerations you’d like me to know? Thank you!