APPLICATION FORM Inner Recalibration

Application for Inner Recalibration

1:1 Emotional Development Support

This is personalised, one-to-one work.

Please answer thoughtfully so I can understand where you are and how best to support you. Due to limited availability, not all applications can be accepted immediately. I read each one personally so will endeavour to respond within 1-3 working days with next steps!

Thank you for taking the time to embrace this exciting journey!

First name

Last name

Email

Phone

Are you Applying for:

Online Sessions

In Person Session - Christchurch, New Zealand

How did you hear about this offering?

What is bringing you to this work right now?

When you feel overwhelmed or reactive, what tends to happen — internally or externally?

What have you explored to shift this/these patterns in the past? Have you previously worked with a therapist, healer, any form of coaching, or practitioners? What helped? What didn’t?

Have you explored any of the following practices before? (Select any that apply)

What do you believe I may be able to help you with - what brought you here?

Are you prepared to commit to a minimum of three sessions if accepted? On a scale of 1–10, how ready are you to actively engage in this process? And how much time are you realistically prepared to dedicate to reflection or integration between sessions?

Six months from now, what would “peace” or “alignment” look like in your life?

Is there anything else you feel is important for me to know before considering your application?

Do you have any questions?

Thank you for taking the time to complete this form. This practice supports emotional development and relational growth.

It is not a substitute for clinical psychiatric or crisis care.

You will receive next steps within 2–3 working days.

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