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Reclamation Application

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Question 1 of 7

Name and Email

Question 2 of 7

Which Describes you best

(Select all that apply)
A

I want to feel more confidence and pleasure in my body

B

I'd like to heal past trauma, and overcome any guilt or shame

C

I'd like to connect deeper to women and my own femininity

D

I'm curious to learn more about this work and explore what's possible for me

Question 3 of 7

Have you ever engaged in embodiment practices, breathwork, or sensuality work to awaken deeper pleasure and connection?

(Select all that apply)
A

Yes

B

No

C

Somewhat

Question 4 of 7

Do you experience regular anxiety?

(Select all that apply)
A

Yes

B

No

Question 5 of 7

Are you currently experiencing a big life transition? ie; divorce, breakup, motherhood, menopause, career shift, etc?

(Select all that apply)
A

Yes

B

No

Question 6 of 7

Do you feel disconnected from your sensuality or sexuality?

(Select all that apply)
A

Yes

B

No

Question 7 of 7

Do you have the time and financial means to invest in this transformational program/retreat?

(Select all that apply)
A

Yes

B

No

C

I could make something work

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