Apprenticeship Intake

Thanks for taking 5-10 minutes to let me know why you’re interested in an apprenticeship.

Everything is 100% confidential, so please be as honest as you’re comfortable with.

After you click submit, you’ll be redirected to my scheduling link to pick a 45 minute window for us to talk about what it might look like to work together. (Please disregard if you’ve already booked your call.)

Thanks and I look forward to speaking with you!

Name

First Name

Last Name

Age

What are your preferred gender pronouns?

Why are you interested in an apprenticeship at this time?

What specific goals or realities are you looking to manifest?

What holds you back, or where have you had trouble in the past?

Do you have any regular self-care or personal growth practices? If yes, please describe.

What are you currently trying (therapy, breathwork, etc.) to address your challenges? Please include any medications you are currently taking.