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1:1 Sessions Form 

Please fill out the form below, I look forward to starting this work together! 

What type of modalities are you most interested in?

Session can be held bi-weekly (every 2-3 weeks) for the most amount of change and growth to be seen. Is this something that you're interested in?

Please choose one
Yes!
No, monthly or every couple of months

You may skip entering your birth details, if you've already shared them

Birthday
Year
Month
Day
Time of Birth
Time
HoursMinutes

Please read carefully before submitting


I understand that this work is a coaching and spiritual guidance space integrating astrology, somatic awareness, and inner child work, and is not a substitute for psychotherapy or clinical mental health treatment.


At times, our work may include reflective practices such as mindfulness, journaling, somatic awareness, visualization, or other experiential exercises. Participation in any exercise is entirely voluntary, and you are encouraged to communicate your needs, boundaries, and comfort level throughout the process.


All sessions are kept confidential, and will not be recorded except for the use of Zoom's AI tool for note taking purposes which will be shared with you.


By signing this agreement, you acknowledge that you understand the nature of coaching and voluntarily choose to participate in the coaching service.

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"The privilege of a lifetime is to become who you truly are."

Carl Jung

© Designed by Megha Agnihotri

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