Reclaiming You
Application

This is a selective, high-touch container. The application is intentional.

Answer honestly. Clarity matters more than perfection.

First Name

Phone Number

What made you seek this work now...not six months from now?

Where do you feel most disconnected from yourself right now (body, decisions, boundaries, confidence, something else)?

What have you already tried to change this pattern...and why do you think it hasn’t fully worked?

How does overthinking, self-control, or self-monitoring show up in your life?

What would actually change in your life if you trusted yourself and your body?

This work requires personal responsibility and willingness to be uncomfortable. Where do you feel resistance...and why are you still here?

Are you ready to invest $5,000 in this work if accepted?

Anything else you want me to know about you?

Form submission[]

Reclaiming YouApplication