Welcome Form

Name*
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Email*
Please state your intention for the Somatic Freedom Course and Coaching*
As you look into your heart, what is the most important gain you wish to make in your 5 months of participation?*
At this time in your life, what is most important to you?*
What are the most significant responsibilities you currently hold?*
How do you describe your state of health? Include details regarding necessary health care management (physical, mental, emotional and spiritual health included) that you are focused on.