Program Application

Begin Your Journey Within

This application is the first step toward a 12-week psychospiritual journey.

Take your time. there are no right answers – only those that are true for you.

Approx. 10-15 Minutes to complete

"*" indicates required fields

About You

MM slash DD slash YYYY
· · ✦ · ·

What's Bringing You Here

Which of the following best describes what you are seeking? (Select all that apply)*
· · ✦ · ·

Your Inner Work Background

Have you engaged in a therapy, counseling, or coaching before?*
Do you have a current spiritual or contemplative practice?*
How comfortable are you with exploring symbolic material — dreams, images, archetypes? *
· · ✦ · ·

What You Hope to Transform

· · ✦ · ·

Practical Details

What is your general availability for weekly sessions? (Select all that apply)*
When are you hoping to begin?*
Investment — which payment option are you considering?*
Would you like to join our mailing list?*

By submitting this application, you are expressing your genuine intention to begin. One of our therapists will review your application and reach out within 2–3 business days to schedule your complimentary assessment call.