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Love Yourself Naked®/Somatic Freedom Method™

Intake Form – Health History

Welcome! I'm looking forward to working along with you for the next 12 weeks. Take your time with this and be as open and detailed as you can. Here are a few pointers: Try not to worry about what I will think. Don’t judge what comes up for you or edit your thoughts in any way. Nothing is too big or too small to mention - everything applies. It's all part of your life. This is important work and it allows me to read it and know you better during our weekly coaching salons (Live Calls). Be as honest with yourself as possible too. As always, everything you share is 100% confidential.
    As we begin, it is useful to be sure we are aligned in our understanding of the nature of our coaching relationship. Please check below to indicate you agree:
  • Example: 1:54am (ask your mom or dad if you are unsure!)
  • Upload files: If you have info that you think could help me, help you. Please share 🙂 *all info is confidential
    Drop files here or
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    • (ask your parents if you are unsure - if possible)
    • Please be as descriptive as possible.
    • Really open up and share why you are inspired to take action now.
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