Apply for Your Journey

Please take a moment to fill out the form.

First Name

Last Name

What's the journey that attracts you most?

The 1-on-1 experience

Small group deep-dive

The Liberation Journey

I am not sure yet

What sparked you to apply for a journey?

Imagine yourself in the future, after having fully embraced this program. How do you see it influencing your daily life?

What are some experiences or feelings you wish to invite more into your life?

What do you think is important for you to feel supported in this journey?

Can you share a little about your previous experiences related to self-growth or therapy?

Are you presently involved in any other forms of therapy or receiving other support? If yes, please elaborate.

Are you currently on any medications? If so, please specify.

Have you ever been under psychiatric care?

Is there anything more you feel is important for me to know about you?

Thank you for taking the time to share this information with me.
Now check your mailbox to see if everything is working well!