Body, Breath & Soul Questionnaire

 

Name *
Name
Address
Address
Do you have any chronic pain, physical limitations, or disabilities?
Are you taking any heavy medication? *
Do you have an active addiction?
Have you had a serious illness or major surgery within the last five years?
Have you experienced trauma, either physical or emotional, recently or in the past? *
Are you currently under medical treatment for any physical or mental conditions?
Are you currently experiencing an emotional or physical crisis? *
Are you currently pregnant or trying to get pregnant?
Do you currently have or have you had any of the following conditions in your lifetime: *
Please indicate other professionals you currently use:
Please indicate any of the following vehicles you use toward personal growth and development:

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Traumatic imprints can make it nearly impossible to truly feel a sense of enoughness: ours,others, the world. The source of experiencing abundance is nature: our radiant embodied selves and earth herself. Money and Trauma begins in a few weeks. Link in profile.
Money & Trauma registration closes in two-weeks — link in profile. Transforming your relationship to money begins with cultivating the qualities that we ascribe to money: safety, freedom, and possibility. If you experience consistent anxiety or resistance to all things money, Money and Trauma is for you. Settling the nervous system to bring yourself fully into your body and into this moment changes the dynamic so you make clear, powerful decisions.
Someone commented the other day that the way I live teaches people (what a compliment, right??) so I wanted to shout out to the women who have (perhaps unwittingly) supported me in being the strongest and healthiest I’ve ever been: @kategalliett of #theunbreakablebody, @realfitnessforrealwomen, now @realfood_reallife — 6 years ago my body hurt all the time (even with regular yoga). I was exhausted and my nervous system was on high alert all the time. I was teetering on the edge of pre-diabetes. I started strength training with the tiniest of baby steps feeling like I was getting nowhere. Now I strength train 3-4 days per week with my family using @fitbodapp and do some cardio 2-3 days. Yes, there is still yoga but building strength and sustainable (consistent) habits that support health (sleep, good food, breathing/meditation, and a supportive community) is the foundation of feeling really good inside of my skin. I get better all the time and it starts with how I care for my body. It took (literally) years to get here and it feels so damn good.
Never would I ever have considered an eye mask until @jvn showed me the light. #queereye
Sunshine and shooting stars. #delight #nature
First day of high school— this is the longest @clara_jordan727 has ever attended one school. Milestones abound... #love #firstdayofschool