Application Form

Explore the session that feels most aligned with where you are right now—each experience is guided gently, intentionally, and at your own pace.

Supportive 1:1 sessions designed to help you reconnect with your body, regulate your nervous system, and create deeper internal shifts.

A Final Note

Full Name *

Email Address *

Phone Number

CURRENT EXPERIENCE

What are you currently experiencing? *

Please share what feels most present for you right now.

What patterns, emotions, or challenges are you wanting to shift? *

Where do you feel most stuck at the moment? *

AWARENESS & HISTORY

Have you done any personal development, therapy, or coaching before?

If so, what has your experience been like?

What have you tried so far to shift what you’re experiencing?

What habits, techniques or modalities have you found the most helpful so far?

READINESS

Why do you feel ready to explore this work now? *

What would you like to feel or experience differently in your life? *

COMMITMENT

This is an 8-week coaching process that requires consistency and openness. Are you willing to commit to this process and show up for yourself during this time? *

Are you currently in a position to invest in this work ($3,000 AUD or payment plan)? *

SUPPORT

Are you currently receiving support from a therapist, psychologist, or medical professional?

If yes, you’re welcome to share more below.

FINAL

Is there anything else you feel called to share?

Apply to Work Together

Grounded support for healing, awareness, and transformation.