Personal Sessions
Application Form
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Name
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First
Last
Email
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Email
Confirm Email
Where do you live? (Country & City)
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You are applying for what kind of sessions? Online, In-Person or both?
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Online via Zoom
In Person (in Edmonton, Canada)
What is your Profession?
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I am currently focusing on serving individuals within the mental health field. I appreciate your understanding and thank you for considering my services.
Please select issues you struggle with:
Identity crises
Midlife crises
Gender Identity issues
Feeling Overwhelmed
Emotional Dysregulation
Anxiety issues
Relationship issues
Attachment issues
Self Image issues
Self-Esteem or Self-Worth issues
Obsessive-Compulsive Disorder (OCD)
Post-Traumatic Stress Disorder (PTSD)
Eating Disorders
Attention-Deficit/Hyperactivity Disorder (ADHD)
Meaninglessness, Purposelessness
Spiritual Experience Integration
Psychedelic Experience Integration
Depression
Despair
Distrust
Self Sacrificing
Feeling like a Victim
Loneliness
Kindly note: I do not work with major personality disorders or immediate crisis intervention. I appreciate your understanding.
Any other issues?
A brief description of your goals for personal sessions:
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Any questions or comments?
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Somatic Coaching