ALIGNMENT APPLICATION

Please provide the following information.

Name *
E-mail *
Phone Number *
Which of my offerings are you interested in? *	Aura Cleansing Unbinding & Illumination 1:1 Yoga Session Tarot Reading Journey & Visualization Meditiation Divine Mother Nature Reiki Hape Ceremony Shakti Massage Divine Feminine Workshop 1:1 Private Facilitation
What is ONE thing you'd love my support with? And why? Provide as much detail as possible. *
How would you describe your relationship to personal growth? *
What is the main reason you're choosing me as your Guide? BE SPECIFIC. *
Are you currently unpacking and processing recent trauma? *
Are you able and willing to commit a minimum of 6 hours a week? *	Yes No
My work involves optimizing your mind, body, and spirit. If you work with me 1:1 or in one of my group programs, you may be invited to shift your habits, diet, and routine to cultivate deeper alignment and embodiment. How open are you to creating these shifts? *
Have you worked with Spiritual Healers or Energy Workers in the past? If yes, who? Why did you stop working with them? *
What excites you about working with me? *
What do you want to walk away with from this experience? *
If we both feel aligned to work together, how able or willing are you to invest in your personal development right now? (You can elaborate on your answer in the final question.) *
How did you hear about me and/or my offerings? *
Please share links to all of your social media platforms (this includes Facebook, Instagram, Twitter, YouTube, LinkedIn, etc.) This will help verify your identity. *
Is there anything else you feel ready to share at this time? *

DISCLAIMER

I am not a clinical psychologist, psychiatrist or licensed counsellor and am not able to diagnose, prescribe or treat psychological conditions.

I began my journey with Spirit in 2003 and have been actively working with clients since 2014 and facilitating group circles since 2018.

I am a certified RYT-300 Hr Yoga Instructor with the Shamanic Yoga Institute and the Canadian Yoga Alliance.

I have undergone training in Trauma Informed Therapy, Bioenergetics and Somatics.

I have been an active duty certified EMR/First Responder since 2006

I practice Andean Mountain Shamanism, Reiki, Lightwork, Ceremony, Ritual, Shadow Walking, Journeying and Stewardship of this land as a Pachacuti Inca Mesa carrier.

If you have any unprocessed active psychological trauma that causes you to be a danger to yourself or others, please speak with a trained medical professional or call the mental health and information support line or crisis line below.

ARE YOU IN AN ACTIVE CRISIS?

In Crisis? Call 1-800-SUICIDE (1-800-784-2433) to speak with crisis line workers anytime of the day or night.

Looking for information and support? Call 310-6789 to reach the Mental Health and Information and Support Line, from anywhere in the province of British Columbia. You will receive emotional support, and information on appropriate referral options and a wide range of support relating to mental health concerns.