InBodied Application

Welcome! Thank you for your interest in joining InBodied. Please fill out this application thoughtfully.

First name

Last name

Phone

Birthday

Month

Day

Year

Occupation

Why are you drawn to InBodied?

What are you ready to embody?

What do you hope to gain through InBodied?

Have you done any personal development, energy work, or healing programs before? If yes, please briefly describe.

On a scale of 1–10, how committed are you to showing up (deeply) for 12 months?

Are you willing to show up consistently, complete exercises, and actively engage in the community?

Yes

What do you feel is your biggest block / challenge (inner or outer) in living your prayer?

What does “being embodied” mean to you personally?

What are the tools and practices you currently work with if any?

Have you worked with breathwork, EFT (tapping) before?

Please speak to two of your greatest traumas and what you have learned from them:

Please share about two major triumphs you experienced and what you learned from them:

Are there physical, emotional, or mental health considerations /diagnoses you want me to be aware of?

As Conscious Connected Breathing can affect serotonin levels as well as heart rate, please let me know if you are currently on any medications (specifically SSRIs or heart medication):

Which pricing option are you applying for?

Is there anything else that you would like me to know?