Would you like to work with me?

Fill in the form and book your free Discovery Call!

Before you send it over - please read my Ethics page (especially the Ethics, Personal Boundaries and Policies parts).

After filling the form you will be redirected to a calendar with currently available Discovery Call dates. If it does not happen automatically - click here.

Please be aware, that whatever you decide to share over the form or during our Discovery Call is strictly confidential and will never be revealed to others.

What is your name and surname / chosen name? What are your preferred pronouns?

Email address:

Would you rather work over Signal or WhatsApp?

I can user Signal (more secure)

I prefer WhatsApp (less secure)

I can't use neither. I prefer:

Signal / WhatsApp number:

Do you have any experience with consciousness work or somatic practices (therapy, coaching, meditation, somatic experiencing, yoga, TRE, Feldenkreis etc.)? If so - let me know which types and how was your experience with them?

What additional support/resources do you currently have available to you? (therapist, self-regulating practices, network of friends / intentional community, work group, etc). Please list all that apply.

What is the most important thing that you would like to receive support with during Somatic Intimacy Coaching sessions? Please use a few sentences to describe it, so we can share a more common understanding. All answers are strictly confidential.

Is there anything else that you would like to share?

I agree to cancel or reschedule this call if I cannot make it at least 48 hours before

Yes

I have read your Personal Boundary Statement (available under the "Ethics" tab)

Yes