Section II Current season
1. What brought you here and why now? *
2. In one sentence, how would you describe the season of life you are in right now? *
3. Where in your life do you currently feel most like yourself — clear, whole, and at home? *
4. Where do you currently feel most fragmented, restless, or unclear? *
Section III Body, words, and action
5. What have you noticed in your body lately — even if you can't yet say what it means? *
6. What pattern in your behavior keeps repeating? *
7. What conversation, decision, or responsibility are you currently avoiding? *
8. What do people close to you probably experience from you? *
Section V Health & movement screeningA live encounter can include guided movement, applied pressure, instrument-assisted work along the back, sides, and front of the body, and light sustained contact — through fitted briefs or compression shorts, with only the area being worked uncovered and the rest draped. These questions keep that work safe and let me tailor it to your body. Answer for how your body is now . If your encounter will be virtual, answer what you can; the physical items may not apply.
12. Do any of these apply to you now, or recently? Check all that apply. *
For anything you checked, briefly describe each — what it is, when it began, and its current status. *
13. List any medications or supplements you take regularly. *
Especially blood thinners, heart or blood-pressure medication, beta-blockers, or stimulants — these affect bleeding and heart-rate readings. Write “none” if none.
14. Briefly, your injury history and current physical activity or training. *
Old injuries and training patterns help me read how your body moves. Write “none” if none.
Section VII Consent and understandingPlease confirm each of the following. For a virtual encounter, the embodied and hands-on items describe what a live session would involve, so you know the full scope before choosing a format.
The work and its scope
The embodied and hands-on work (live sessions)
My control of the session
