Shadow Work (subconscious work) is a form of inner healing that requires a certain level of awareness and grounding. In order to assess if you are ready for this type of inner work and healing techniques, I ask that you please complete the form below. This form will remain confidential. There is no right or wrong answers and you will not be judged by your current state of being. I want to make sure you are prepared mentality, physically and spiritual to lean into your past memories and traumas.

Date of Birth
Date of Birth
Do you have a daily Meditation practice? *
Have you been diagnosed with any of the following... *
Are you currently taking any Pharmaceutical medications? *
Choose a color... *
Have you ever experienced sexual trauma? *
When was your earliest memory? *
Are you ready to make changes within your daily life? *
Are you ready to let go of past stories? *
An emotion I feel almost every single day is... *
Do you have a hard time staying within the moment? *
(does your mind wander constantly)

Please refer to the PRIVACY POLICY for further details if needed.