Name
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First Name
Last Name
Email
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What's Driving You To Apply Right Now?
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You've done the therapy, breathwork, shadow work. You understand your patterns and triggers. What specifically is happening in your body/life that's finally pushed you to look for this missing piece?
What's Your Current Day-to-Day Experience?
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Be specific about what's happening in your body. Do you get nervous when your phone rings unexpectedly? Feel restless when nothing's actually happening? Feel on edge even when you're "supposed" to be relaxing? Jaw constantly clenched? What physical sensations are you experiencing that don't make sense given all the inner work you've done?
What Do You Reach For When You Feel Restless?
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When that uncomfortable feeling hits or when you have quiet time, what's your automatic go-to? (e.g., phone, credit card, alcohol, vape, scrolling, shopping)
When Was the Last Time You Actually Felt Safe in Your Body?
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Not just managing well. Not "holding it together." When did you last experience your nervous system actually believing you were safe, where you weren't scanning, monitoring, or feeling like you needed to stay alert?
What's Your Relationship With Being "The Rock"?
Pick what fits, or write your own:
What Would Change If Your Nervous System Finally Caught Up?
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Be specific. How would you sleep? What would it feel like to receive help without your body screaming "danger"? How would relationships change if you could actually be vulnerable? What would you stop reaching for when you feel uncomfortable?
What Inner Work Have You Already Done?
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List the therapy, healing modalities, or personal development work you've invested in. What has genuinely helped you grow emotionally/mentally, but hasn't quite reached your nervous system and body yet?
Investment & Commitment
This is 12 weeks of precision work:
✔ You're committing to weekly sessions
✔ You're ready to have your system tracked, not just your thoughts analysed
✔ You're done with managing symptoms and ready to address what's underneath
✔ You're ready to finally feel like yourself in your own skin
Your Preferred Payment Method
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So I send you the right link if you’re accepted.
APPLICATION RECEIVED
Your application just landed. I'll review it personally and get back to you within 48 hours.
You've just taken the first step toward addressing the root cause where all those other approaches couldn't reach.
I built this work specifically for people like you - disciplined, self-led, and ready for precision work that actually delivers results.
