Welcome to the Peace Practice Program!

To make sure the program is a good fit for you and to help me get an idea of where we’re starting the Peace Practice journey together from, please take a moment to answer the following questions.

I so look forward to being your meditation and spiritual guide over these 8 weeks!

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

What are your current biggest struggles when it comes to feeling, peace, ease, and flow in your life?

On a scale of 1-10, How much is your previous answer affecting your life?

If you had a magic wand, what would your life look and feel like instead?

Do you currently meditate or have any other self-care or spiritual practices you do? If so tell me a bit about them.

What specific benefits would you like to get from your meditation/spiritual/self-care practice that you aren't currently getting?

If you've tried meditating before, what are your biggest struggles with keeping it up?

Do you have any other specific questions/challenges you want to be sure we cover?

Are you willing to devote time to building your "Peace Practice" now?

(we will have weekly 45-60 minutes calls + I recommend working up to at least 10-20 minutes/day for your practice)

Which days are you available for our weekly sessions? (please choose all that apply)

(I recommend blocking out about 75 minutes for our first call + 60 minutes for our weekly calls)

Wednesday (btw 9:30-11am)

Wednesday (btw 4-8pm)

Thursday (6-8pm)

Other (enter below)

Other days/times that work for weekly sessions:

I look forward to working with you!!

Peace Practice Intake

Welcome to the Peace Practice Program!